self-therapy for the stutterer

Transcription

T
E
N
T
H
E
D
I
T
I
O
N
self-therapy
for the
stutterer
MALCOLM FRASER
THE
STUTTERING
FOUNDATION
®
PUBLICATION NO. 0012
This book
has been provided in part
through the generosity
of the
Genuine Parts Company
THE
STUTTERING
FOUNDATION
姞
A Nonprofit Organization
Since 1947—Helping Those Who Stutter
T E N T H
E D I T I O N
self-therapy
for the
stutterer
By
Malcolm Fraser, L.H.D.
Life Member
American Speech-Language-Hearing Association
Founder
Stuttering Foundation of America
THE
STUTTERING
FOUNDATION
®
PUBLICATION NO. 0012
self-therapy for the stutterer
Publication No. 0012
First Edition—1978
Tenth Edition—2002
Revised Tenth Edition—2007
Published by
3100 Walnut Grove Road, Suite 603
P.O. Box 11749
Memphis, Tennessee 38111-0749
Library of Congress Catalog Card No. 00-133443
ISBN 0-933388-45-4
Copyright © 2007, 2004, 2002, 2000, 1993, 1978 by
The Stuttering Foundation of America is a nonprofit
charitable organization dedicated to the prevention
and treatment of stuttering. Contributions are tax
deductible.
Printed in the United States of America.
Dedicated to all
who seek relief from the burden
of stuttering.
To the Reader
There are always some stutterers who are unable
to get professional help and others who do not seem to
be able to profit from it. There are some who prefer to
be their own therapists. In this book, Malcolm Fraser,
Founder of the Stuttering Foundation of America, has
provided some guidance for those who must help
themselves. Knowing well from his own experience as a
stutterer the difficulties of self-therapy, he outlines a
series of objectives and challenges that should serve as
a map for the person who is lost in the dismal swamp of
stuttering and wants to find a way out.
CHARLES VAN RIPER
Distinguished Professor Emeritus and formerly
Head, Department of Speech Pathology and
Audiology, Western Michigan University
“The stutterer must conquer his own
problems. No one else can do it for him.”
—Van Riper
6
Contents
Use the Index (page 189) for location of instructive
information concerning all phases of stuttering
On Self-Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
On This Approach to Self-Therapy . . . . . . . . . . . . . . . . . . . . . . . . 13
Original Cause of Your Stuttering . . . . . . . . . . . . . . . . . . . . . . 18
Factors Affecting Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Your Feelings and Emotions . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Tension and Relaxation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Distractions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Enlisting the Support of Others . . . . . . . . . . . . . . . . . . . . . . . . 25
Your Determination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
The Premise and The Program . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
A Helpful Therapy Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
The All Important Ground Rules . . . . . . . . . . . . . . . . . . . . . . 37–60
Talking Slowly and Deliberately . . . . . . . . . . . . . . . . . . . . . 41, 61
Stuttering Easily . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42, 65
Admitting That You Stutter . . . . . . . . . . . . . . . . . . . . . . . . 43, 69
Eliminating Secondary Symptoms . . . . . . . . . . . . . . . . . . . 45, 80
Eliminating All Avoidances . . . . . . . . . . . . . . . . . . . . . . . . . 46, 85
Maintaining Eye Contact . . . . . . . . . . . . . . . . . . . . . . . . . . . 48, 95
Finding Out What You Do When You Stutter . . . . . . . . . . 49, 99
Using Block Corrections . . . . . . . . . . . . . . . . . . . . . . . . . . . 51, 113
Moving Forward As You Speak . . . . . . . . . . . . . . . . . . . . . . . . . 52
Using Inflection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Listening to Your Fluent Speech . . . . . . . . . . . . . . . . . . . . . . . . 53
Talking All You Can . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Goals and Challenges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Develop Heirarchy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
Set Up a Daily Quota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57
Minimum and Maximum Goals . . . . . . . . . . . . . . . . . . . . . . . . .57
Sample Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58
Rewards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
Desirable Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
Voluntary Stuttering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Using The Telephone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Analyzing Blocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 and 107
Block Corrections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Post-Block Correction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
In-Block Correction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Pre-Block Correction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Do You Get Discouraged? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
Let’s Review, What’s Been Done . . . . . . . . . . . . . . . . . . . . . . . . . 133
Where Are You—Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
A Personal Letter To You . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141
Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Support Groups—Sharing With Others . . . . . . . . . . . . . . . . . . . 144
The Effect of Fear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .145
On Breath Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146
Electronic Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Using The Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
Eliminating Stereotypes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
Relevant and Interesting Quotations . . . . . . . . . . . . . . . . . . . . . 152
Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
Authors of Quotations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189
The person who stutters in this book is often
referred to as “he” or “him.” This is done for
editorial reasons but may be considered as fairly
representative since it is estimated that 3 to 4 times
as many males stutter as females.
8
The quotations and footnotes in this book
have been taken from the writings of speechlanguage pathologists and medical doctors.
All of them have earned degrees as doctors of
philosophy or medicine and know what you
are up against as most stutter themselves.
They understand your problem from observation and experience and represent a most
distinguished array of authority and prestige in the field of stuttering. Their names
and titles are listed starting on page 186.
Those who stutter are marked with a star by
their name.
9
“The importance of motivation cannot be
exaggerated, and success or failure of
therapy will depend on your commitment
to follow through.”
In case you are not familiar with the meanings of some of the words used in this book, you
will find a glossary beginning on page 171 where
definitions are given of terms and expressions
used in the treatment of stuttering including
many not found in this book. Read them for your
general education in speech pathology.
10
On Self-Therapy
If you are like many of the three million stutterers in this
country, adequate clinical treatment will not be available to
you. Whatever you do you’ll have to be pretty much on your
own with what ideas and resources you can use. (Sheehan)
The first thing you must do is to admit to yourself
that you need to change, that you really want to do something about the way you presently talk. This is tough but
your commitment must be total; not even a small part of
you must hold back. Don’t dwell longingly on your fluency
in the magical belief that some day your speech blocks will
disappear. There is no magic potion, no pink pill that will
cure stuttering.
Don’t sit around waiting for the right time for inspiration to come to you—you must go to it. You must see that
the old solutions, the things you have done to help yourself
over the years simply do not work. Ruts wear deep though,
and you will find it difficult to change. Even though the
way you presently talk is not particularly pleasant, it is
familiar. It is the unknown from which we shrink.
You must be willing to endure temporary discomfort,
perhaps even agony, for the long range improvement you
desire. No one is promising you a rose garden. Why not
take the time and effort now for a lifetime of freedom from
your tangled tongue? How can you do this? Break down the
global problem of stuttering into its parts and then solve
them one at a time. No one said it was easy. Shall we begin?
(Emerick)
A valuable precondition for a successful therapy is the
deep inner conviction of the stutterer in the manageability
of his disorder, combined with a fighting spirit and a readiness to undergo hardships and deprivations if needed—
hopelessness, pessimism and passivity being the deadliest
foes to self-improvement.
(Freund)
11
“There is no quick and easy way to
tackle stuttering, but with the right
approach, self-therapy can be
effective.”
12
On This Approach to Self-Therapy
This book is written to and for the many adults
and teenagers who stutter 1,3—and is addressed in the
second person to describe what you can and should do to
control your stuttering. We state confidently that as a stutterer, you do not need to surrender helplessly to your
speech difficulty because you can change the way you talk.
You can learn to communicate with ease rather than with
effort. There is no quick and easy way to tackle stuttering,
but with the right approach, self-therapy can be effective.
Experience may have caused you to be skeptical about
any plan which claims to offer a solution. You may have
tried different treatment ideas and been disappointed
and disillusioned in the past. This book promises no
quick magical cure and makes no false claims.2
It describes what you can and should do to build selfconfidence and overcome your difficulty.
It offers a logical practical program of therapy based on
methods and procedures that have been used successfully
in many universities and other speech clinics. This
approach to therapy has been shown to get results.3
If there were an easier or better way of learning how to
control stuttering, we would recommend it.
1
Almost one percent of the population of this country manifest some
acute form of stuttering speech, which places them under a great economic
and social handicap. This can be corrected if given the proper training.
(Martin)
2
There are no quick or magical answers to your stuttering. (Barbara)
3
This book has been translated into 12 foreign languages: German,
French, Spanish, Japanese, Lithuanian, Finnish, Slovakian, Danish,
Russian, Czech, Zulu, and Chinese.
13
We start with two assumptions. One is that you have no
physical defect or impairment of your speech mechanism
that will get in the way of your achieving more
fluent speech. After all, you can probably talk without stuttering when you are alone or not being heard or observed
by others.1,2 Practically all those who stutter have periods of
fluency, and most speak fluently part of the time.
And we assume
that you may not be in
“You are the only person on earth
a position to avail
who can correct your stuttering.”
yourself of the services
of a speech patholo—Starbuck
gist, trained to help
you work on your
problem in the manner described in this book and that, as a
result, you need to be your own therapist. Even with competent guidance, authorities would agree that stuttering
therapy is largely a do-it-yourself project anyway.3,4,5,6
If you are sincerely interested in working on your
speech, you will need to have a strong motivation to overcome your difficulty and a sincere determination to follow
through on the suggested procedures and assignments.
1
There is nothing wrong inside your body that will stop you from talking.
You have the ability to talk normally. (D. Williams)
2
Because you stutter doesn’t mean you are biologically inferior to the
next person. (Sheehan)
3
No one but myself improved my speech. Others have helped me by providing information, giving emotional support, identifying bias, etc. but the
dirty work of therapy is, and always has been, my responsibility. (Boehmler)
4
Don’t ever forget that even if you went to the most knowledgeable expert
in the country, the correction of stuttering is a do-it-yourself project.
Stuttering is your problem. The expert can tell you what to do and how to do
it, but you are the one who has to do it. You are the only person on earth who
can correct your stuttering. (Starbuck)
5
The stutterer must conquer his own problems—no one else can do the
job for him. (Van Riper)
6
Needless to say, each stutterer must from the beginning of therapy
accept the responsibility for his problem. This implies self-therapy which is
essential. (Stromsta)
14
The importance of motivation cannot be exaggerated,
and success or failure of therapy will depend on your commitment to follow through.1 It will not be easy, but it can
be done.
On the other hand, there is no way to promise success
in this or any other program since no sure ‘cure’ for stuttering has yet been discovered in spite of what you may
have read.
However, it is reasonable to believe that if you follow the
suggestions and carry out the procedures outlined in this
book, you should be able to control your stuttering and
speak easily without abnormality. Others have conquered
their stuttering and you can too.
But the best way for
you to judge the effectiveness of any therapy is to
try it out and let the
results speak for themselves.2,3
The importance of motivation
cannot be exaggerated
It should be mentioned that there are many differences
among stutterers. Some cases are mild and others severe,
and in most cases the frequency and severity of stuttering
tends to vary from time to time and from one situation to
another.
Sometimes you may be able to speak in a comparatively fluent manner with little or no difficulty; at other times
you may have considerable trouble, particularly when the
message to be conveyed is important. That tends to make
The importance of motivation cannot be exaggerated. (Hulit)
A major problem in the treatment of stuttering is how to encourage the
stutterer to stay in and continue with the course of treatment. (Barbara)
3
Based on your understanding choose the most appropriate therapy
program you can, and work at the program with more consistency, devotion
and energy than any other task you’ve ever tackled. As success is obtained,
maintain it with equal vigor. (Boehmler)
1
2
15
it a most frustrating disorder since it can and usually does
become worse in certain environments and under certain
circumstances.
Most stutterers are apt to have the most difficulty when
embarrassed and anticipating trouble.1 As one person
expressed it, “if you can’t afford to stutter, you will.”
It may be more
noticeable when you are
…if you can’t afford to stutter,
asked to state y o u r
you will.
n a m e , w h e n talking
to people in authority
like prospective employers, teachers, in making introductions, when speaking to
groups or talking on the telephone, etc. On the other hand,
you may have little or no trouble when talking to yourself or
talking to a child or a pet animal.2
It should also be recognized that stutterers vary widely
in their reactions and characteristics and in the conditions
under which their stuttering occurs. No two persons stutter in the same manner since every stutterer has developed his own particular pattern of stuttering.3,4,5 All those
who stutter have a wide variety of personality traits, so
your reactions may be different from others; and accordStuttering is an anticipatory struggle reaction. (Bloodstein)
Some stutterers have difficulty reading aloud; others do not. Some
can speak well when in a position of authority; some show their greatest
difficulty here. Some can use the telephone without interference; others are
completely frustrated by this situation. Speaking with members of the
opposite sex causes great difficulty to one stutterer but results in fluency
with another. Some speak well at home but not in other environments; with
others the situation is completely reversed. (Ansberry)
3
The old saying that no two stutterers are alike is undoubtedly true.
(Luper)
4
The speech behavior patterns that have usually been associated with or
identified as stuttering vary from person to person, and from time to time
with any given person. (D. Williams)
5
We all have different personalities and our pattern of stuttering is
distinct and interwoven in the unique personalities. (Garland)
1
2
16
ingly we ask you to bear with us when you read about
troubles which you may not encounter yourself but which
may represent a problem to others.
Most have certain abilities which seem somewhat
surprising. Nearly all those who stutter generally have
little or no difficulty when they sing, shout, whisper, or
read in unison with others.1
If you have no difficulty talking when you are alone or
when you are reading or speaking in unison with others,
that would indicate that you have the physical ability to
speak normally.
Having the physical ability to speak normally would
make it evident that fear or anticipation of trouble or fear
may cause you to put unnecessary tension into your
speech mechanism and that may trigger most of your
difficulty.2
In this connection, we would add that this in no way
infers that any mental deficiency is involved since it is
believed that the I.Q. (intelligence quotient) of the average
stutterer is normal or above normal.3,4,5
1
Most stutterers have certain abilities which are somewhat surprising.
Even the most severe stutterers generally have little or no difficulty when
they sing, shout, whisper, speak to a rhythmic stimulus such as a metronome,
speak or read in unison with another speaker or speak to a masking noise.
(Ramig)
2
The field of stuttering should be recognized as a border area between
psychopathology and speech pathology but closer to the first of these.
(Freund)
3
Because you stutter it doesn’t mean that you are any more maladjusted
than the next person. (Sheehan)
4
On the whole people that stutter are highly intelligent and capable.
(Barbara)
5
Some famous people who stutter have been of above normal intelligence:
Winston Churchill, Charles Darwin, Lewis Carroll, Jack Welch of General
Electric, actor James Earl Jones, etc.
17
Original Cause of Your Stuttering
Many stutterers have mistakenly believed that if only
the “cause” could be found, a fast cure would result. Many
theories have been advanced to explain the nature and
causes of stuttering, but none of them has been proven at
this time.
Considerable research is being carried out to investigate possible neurological involvement,1,2 dominance of one
cerebral hemisphere over another, and any factors which
may cause a lack of speech muscle coordination resulting
in stuttering. Hereditary factors also play a role in some
people who stutter.3
Whatever the cause
or causes, you need to
be concerned about
what you are doing
—Murray
now that perpetuates
and maintains your
difficulty, not about what happened in the past. 4,5
“Many have mistakenly believed that
if only the ‘cause’ could be found, a
fast cure would result.”
There is no reason for you to spend the rest of your life
stuttering helplessly. You can gain confidence in your
ability to communicate freely.
Others have prevailed, and so can you.
Recent evidence from brain imaging studies provides a coherent albeit
preliminary view that stuttering occurs when a neurophysiologic system...fails.
(Watson)
2
Any differences between stuttering and non-stuttering speakers
involve not only brain regions involved in motor planning and execution, but
also those areas important for processing of sensory feedback. (De Nil)
2
Inheritance clearly plays a role in some cases of stuttering. It is not
known what these genetic factors are or how they might act. However,
ongoing studies of individuals in stuttering families may give us important
information about the causes of stuttering. (Drayna)
3
Many stutterers have mistakenly believed that if only the “cause”
could be found, a fast cure would result. (Murray)
4
The underlying rationale for this program is that stuttering is a
unique communication disorder of presently unknown origin or origins, and
it cannot be cured. (Breitenfeldt)
1
18
Factors Affecting Therapy
Before explaining the specific steps to be used in therapy,
certain relevant factors should be discussed. This is
because these factors can affect your attitude toward and
your ideas about treatment and how you can and should
work on it.
These factors include information on subjects which
can have a substantial influence on progress in therapy,
factors such as
1) feelings and emotions,
2) tension and relaxation,
3) distractions,
4) enlisting help from others, and
5) your determination or motivation.
We will begin by pointing out how feelings and emotions
can and frequently do affect the severity of your difficulty.
Your Feelings and Emotions
Stuttering is no simple speech impediment. It is a complicated disorder which has both physical and emotional
aspects. To illustrate the latter, the statement can be made
that stuttering is largely what the stutterer does trying
not to stutter.1 In other words, stuttering is like an incredible trick you play on yourself. As you tense in reaction to
your stuttering and your feelings about stuttering, you are
likely to stutter more.
1
In other words, stuttering is what you do trying not to stutter again.
(Johnson)
19
Your Feelings and Emotions
What happens is that you want to stop stuttering so
badly that, as a result, you try to force trouble-free
speech.1 And the more you force, the more tension is built
up in your speech mechanism and the more trouble you
are apt to have. The mechanism of speech is so delicately
balanced that the more you try to stop stuttering, the
worse you unwittingly make it.
Stuttering affects one emotionally since being a
stutterer can be rough. Possibly you may even think it’s
a disgrace to be a stutterer even though that is not so. As
a result, you may have become extremely sensitive about
your difficulty.
It is true that the experience of being blocked or not
being able to say what you want to say without stuttering
can be really frustrating.2 As a result, under some circumstances you may become so embarrassed and humiliated that you suffer from feelings of helplessness, shame,
inferiority, depression and sometimes self-hatred.3
Your emotions may generate so much fear and anxiey
that they can affect your attitude toward others and life
in general.4,5 Like the tail that wags the dog, stuttering
can alter your personality. If you can become desensitized and learn that you do not have to panic when you
1
The stutterer attempts to force the articulation of his words and speaking
now becomes a muscular rather than a mental process. (Bluemel)
2
Fluency is a fair-weather friend that deserts the stutterer when he
needs it most. (Sheehan)
3
Talking was a highly emotional experience which gave me a feeling of
helplessness, failure and defeat. (Freund)
4
The stutterer develops emotional reactions which permeate his very
soul, affect his will and upset his mind. (Martin)
5
The stutterer feels at most times apart and different from others in his
society. He feels that although others also have difficulties in life, they can cope
with them and live much more easily with their problems. He feels more
permanently crippled than others because of the fact that he cannot hide or
conceal his speech difficulty, and therefore, he is on the constant target of their
embarrassment, ridicule and disapproval. (Barbara)
20
Tension and Relaxtion
stutter or anticipate
stuttering, then you
can begin to change
the way you talk; and
progress will come
more swiftly.
Positive changes in attitudes and
feelings about yourself and your
stuttering will lead to positive
changes in your speech.
Positive changes
in attitudes and feelings about yourself and your stuttering will lead to postive changes in your speech.
Stuttering fears can be of words or sounds, or some
persons, of certain situations, of the telephone, of saying
your name, of a job interview, etc. When you have little
fear, you have less tension and probably will not have as
much difficulty.
When your fear is strong, it builds up tension in your
speech mechanism and you will stutter more frequently
and severely. Sometimes this fear can be so strong as to
make you frantic and almost paralyze thought and action.
Such fear or anxiety may prevent you from entering
situations and experiences that you would otherwise enjoy.
This may cause more shame and embarrassment, and the
more frustrated you become, the more you are likely to
stutter.
As one person expressed it, “If you can’t afford to stutter, you will.” So your stuttering is usually in proportion to
the amount of fear you have.1
Tension and Relaxation
Since fear builds up excessive muscular tension, its
reduction should be a major goal of therapy. Tension, gen1
The more one stutters, the more he fears certain words and
situations. The more he fears the more he stutters. The more he stutters the
harder he struggles. The more he struggles, the more penalties he receives,
and the greater becomes his fear. (Van Riper)
21
erated by fear, plays a most important part in activating
your stuttering and may be the immediate triggering
cause of your difficulty.1,2,3 If you didn’t try to force troublefree speech, you wouldn’t stutter as much or at least you
would stutter more easily.
How can tension be reduced? That’s difficult to answer. It
has been suggested that hypnotism might help. It would be
wonderful if you could reduce or eliminate your tension by
getting some sort of hypnotic treatment, but unfortunately,
hypnosis has not been shown to have any permanent effect.4
In an effort to relax, many stutterers have experimented with drinking alcoholic beverages or getting
slightly intoxicated. Although this may result in stuttering changes for some people, the effect is only temporary.
Obviously, it cannot be recommended.5,6
Although there are new drugs, which work to reduce
fear and anxiety, unfortunately there are no drugs
approved specifically for stuttering at this time.7,8
1
Crucial to this point is the fact that struggle and avoidance worsen a
problem of stuttering. (Moses)
2
Stuttering results when the speaker is unable to cope with excess muscular tension in the speech mechanism. (Luper)
3
Stuttering then may be considered to be in large part something people
do when they become unusually tense about the way they talk. (Bloodstein)
4
Many of you have heard about the wonders of hypnosis and may look
to this technique to provide a quick answer. Rest assured that this has been
tried throughout the years, but almost invariably with only temporary and
fleeting success. (Murray)
5
I turned to smoking excessively and drinking occasionally but found no
solace there. (Wedberg)
6
One of my patients was a city official who made a practice of taking
whisky before giving his weekly report to the City Council. Soon his alcoholism became a more serious problem than his stammering, and he was
hospitalized for this condition. (Bluemel)
7
Since the exacerbation of stuttering by anxiety is a common experience,
it might be assumed that drugs that relieve anxiety would be beneficial.
(Rosenberger)
8
Even though medications for stuttering may be on the horizon, no form
of therapy for stuttering is a cure. Therefore, future treatment will likely
involve the combination of medication with speech therapy to achive the optimal results. (Maguire)
Editor’s note: As we go to press, clinical trials are being conducted on the drug pagoclone for
use specifically for stuttering.
22
Moreover, in many cases, drugs may bring their own set of
side effects to the problem.
It has also been suggested that relaxation exercises
help to reduce or eliminate the tension that you experience. It would be good if you could practice relaxation
procedures that would eliminate tension and retain
their effectiveness during moments of stuttering.
Much research has gone into studying this subject,
and many people who stutter have spent thousands of
hours trying out such procedures in the hope that their
effect would carry over to their time of need. However,
the results have not proved satisfactory.1
Learning to relax can always benefit your speech,
general health, and well-being even if it is not indicated
as a solution to the problem. The fundamental principle
holds that the more calm and relaxed you are, the less
stuttering you will do.2 That’s one reason you will be
asked to talk in a smooth, slow, easy and deliberate
manner as it will help to induce a calmer and more
relaxed way of speaking.
More practical than general relaxation is the relaxation
of specific muscles. When you can locate the place where
the most tension is, it is possible for you to learn to relax
those muscles during speech.3 This will be particularly
helpful.
These exercises involve only certain muscles, the ones
you use to control your lips, your tongue, your mouth,
1
Relaxation has sometimes been described as a method in and of itself
for the treatment of stuttering. I do not believe, however, that relaxation
procedures have much permanent value unless they are part of a more
inclusive therapeutic process. (Gregory)
2
A few minutes of meditation and relaxation each day can help the spirit. (G. Johnson)
3
Once the stutterer has localized the places in the vocal tract where he
habitually exerts too much tension, he may practice stuttering with less of
it. (Bloodstein)
23
your breath and to some extent your vocal cords. When
you are relaxed and alone, you can practice purposely
tensing and then relaxing those muscles. It will certainly
be beneficial if you can relax these muscles during speech.
The regular practice of body exercises is also recommended. The thought is that physical exercises are not
only good for one’s health but can also contribute to
building the self-confidence which all stutterers need.
Body exercises can promote the inclination to stand
up straight with head erect and shoulders back.1 This
kind of assertive posture can help generate a feeling of
self-confidence - the feeling that you are as good as or
better than the next person.2 In this respect, physical
exercises will help you.
Try to adopt a positive attitude generally. Tell yourself
that you can and will overcome your difficulty. If you
adopt an assertive attitude and combine it with controlled techniques, you will improve faster. Be assertive
and believe in yourself and have confidence in your
endeavors.3
Distractions
If there were some way to distract your mind from
thoughts of fear so that you didn’t think about your stuttering, you would probably have no trouble.4 If you could
forget you were a stutterer, you might not stutter at all, but
Accept the fact that you have a serious problem. Stand squarely on
both feet, place your shoulders back and begin to earnestly attack your
problem. (Barbara)
2
Assume an assertive posture - physically be committed to moving
forward. Use your body language to advantage. (G.F. Johnson)
3
This view holds that any human problem is, in many important ways, a
disorder of thinking. (Manning)
4
If he forgot he was a stutterer and simply went ahead on the assumption
that he would have no difficulty, he would speak quite normally. (Bloodstein)
1
24
Distractions
we don’t know how you could develop such a “forgettery.”
Anything that distracts your mind from
Distraction…may temporarily blot
fear or takes y o u r
our thoughts of fear but will not
m i n d o f f t h e anticipation of stuttering
result in any permanent reduction of
will usually give
fear or stuttering.
you temporary relief.
This is the main reason why stutterers are sometimes misled by tricky procedures such as talking with sing-song inflection,
metronome timing, talking while tapping a finger, swinging an arm, or stamping a foot, etc. These and many other
odd ways of talking may produce temporary fluency.
Just thinking about how to use them when you anticipate trouble shifts your attention away from stuttering.
They may temporarily blot out thoughts of fear but will
not result in any permanent reduction of fear or stuttering.
Strange as it may seem, almost any new or bizarre
technique1,2 will temporarily help any stutterer—at least
until the novelty wears off—if he has confidence in its
effectiveness.
Enlisting the Support of Others
It would be fortunate if you could find the help of
a competent speech-language pathologist trained in the
field of stuttering. However, this self-therapy program has
been planned under the assumption that you may not
1
One of the tricky features of undertaking therapy with stutterers is that
anything in the way of technique to bring about immediate fluency is likely to
work at least temporarily. (Sheehan)
2
Witchcraft, the surgeon’s knife, appliances for the tongue, drugs, hypnotism, psychoanalysis, arm swinging and a host of other devices and methods
have been employed, and a few ‘cures’ seem to be obtained by any method, no
matter how grotesque. (Van Riper)
25
Enlisting the Support of Others
have such specialized help. Even if you do, the success of
any program is still largely dependent on your efforts.1,2
This does not mean that you should discourage help
from others as you need people to talk with and practice
on. If you have a family member or close friend with whom
you have a good and trusting relationship, he or she may
be able to render you valuable service in many ways.3
Acting as an observer, such a person may be able
to see and hear things of which you may not be aware. It
is also possible that when you are studying the way you
stutter (which will be discussed later), such a friend could
duplicate your stuttering to help you become aware of
what you are doing when you are having trouble.4
Or he or she could accompany you on some of your
assignments, compliment you on your efforts, give you
moral support by encouraging you to carry on and
persevere until you reach your goal. You will need all the
encouragement you can get.
Sometimes friends with the best of intentions offer
unsolicited advice about what they have heard or
think you should do to overcome your stuttering.
Although such advice may be unwise and unwanted,
we suggest that it should be accepted gracefully even
though it is based on an inadequate understanding of
the problem.
1
The stutterer must get out of his mind that he can be “cured” by somebody
else. (Wedberg)
2
Before you begin to follow any specific program for correcting your stutter
you must remember that stuttering is your problem and yours alone. (Barbara)
3
What I needed was not an authority but a friend and collaborator genuinely interested in me and ready to help me. I was fortunate to have a brother
who could be this friend. (Freund)
4
My high school chemistry teacher, a former stutterer, gave up his lunch
hour twice a week to talk with me about speech…Perhaps you can find this kind
of sympathetic friend who will listen while you talk about your stuttering. Let
him know that you do not expect advice. You don’t expect him to be a clinician,
just a friend. (Brown)
26
Your Determination
In some places, support groups of stutterers have been
organized. They meet regularly to help each other to work
on their problem. If such a group has capable leadership,
it can be very worthwhile. For further information, see
page 144.
Your Determination
There is no easy road to fluency. For therapy to
accomplish its purpose, it will take determination.1 It is
necessary for you to
have the courage to
There is no easy road to fluency.
confront2 your stuttering head-on and
undertake assignments
which will require a lot of work and probably a lot of
embarrassment.3 Is more fluent speech worth the effort
which you must go through to produce it? That is up to
you.
Actually, the embarrassment you experience will help
reduce the sensitivity which makes your stuttering worse.4
And becoming less sensitive to your difficulty will
make it easier for you to retain sufficient presence of mind
to carry through on the recommended procedures.
1
You appreciate most in life those things you do for yourself. Getting over
stuttering takes tremendous self-discipline and desire. (Aten)
2
Although it is a tough row to hoe at first, there is nothing as therapeutic
as self-confrontation. (Rainey)
3
Alleviating one’s stuttering is ultimately a matter of self-discipline and
control. (Stromsta)
4
At some point in the therapy process the stutterer must become desensitized to his stuttering. (Kamhi)
27
Your Determination
If you feel your stuttering is a handicap, you need
to find ways and means to have a richer life through more
fluent speech.1 You need to feel better about yourself as
a person.
Although you should not demand or expect perfection,
you want to speak more freely. But to do this, you need the
determination to make
changes in your way of
Be assertive and believe in
talking and in yourself.
yourself.
These changes can put you
in control and make you
master of your speech.
We say that you can succeed, and that the pay-off
is far greater than the cost. But it will take dedication on
your part to change your attitude toward your problem.2
Stuttering is a stubborn handicap and it will not give up
easily.3,4 Therapy is a challenge.5 The decision is yours.
1
I still remember vividly what a severe stutterer and how tangled emotionally
I once was. When I see any stutterer I remember my own unfavorable prognosis,
my own weakness, my lack of hope, and when I do, I find in the case before me
strengths and potentials which I did not have. If I could do what I have done,
then surely this person could do as much. This is a very real faith, and I suspect
it has played a large part in any success I have had as a clinician. (Van Riper)
2
Leonard, a stutterer, would try anything, although never in a reckless or
foolhardy fashion. He possessed both discernment enough to see what needed to
be done and guts enough to do it—a happy combination for a stutterer. He had
kind of a stubbornness or dogged persistence that he was able to turn into an
asset. (Sheehan)
3
Stuttering is a tough opponent. It never gives up. You’ve got to keep knocking it down to stay in command. (Starbuck)
4
A valuable precondition for successful therapy is the deep inner conviction
of the stutterer in the creditability of his disorder—combined with a fighting
spirit and a readiness to undergo hardships and deprivations. (Freund)
5
Men who have achieved in this world have been guided by inspiration, by
vision, by faith in themselves and by faith in the unknown. (Wedberg)
28
The Premise and the Program
The ideas expressed in this book are based on the
premise that stuttering is a behavior that can be modified
or changed. This means that you can learn to control your
difficulty, partly through changing your feelings and attitudes about stuttering, and partly through eliminating
or correcting the irregular behaviors associated with your
stuttering.1,2,3
This will involve reducing your fear of having difficulty
by disciplining yourself to face your fears and become less
sensitive about your stuttering.4,5 And it will include:
(1) analyzing your stuttering behavior,
(2) eliminating unnecessary or abnormal things
you may be doing, and
(3) taking positive action to control your blocks.
1
The basic fact revealed by these clinical studies was that stuttering is
extremely modifiable. It is possible for a speaker to change drastically the
things he does that he calls his stuttering. (Johnson)
2
During the process of therapy he (the stutterer) should learn by experience that he can change his speaking behavior and that he can change his
emotional reactions, both to the way he talks and toward his listeners and
himself. (D. Williams)
3
Basically there are two principal features of his behavior that the stutterer can alter. One is the speech behavior itself and the other is his attitude
toward speaking and stuttering in particular. These two aspects are related:
one of the ways change of attitude is brought about is by helping the stutterer
to experience an ability to modify his speech, and one way in which speechis
changed is through the reduction of fear which accompanies a different way
of thinking about the problem. (Gregory)
4
Somehow you must learn to desensitize yourself to the reactions of others
and refuse to let people’s actual or imagined responses to your stuttering
continue to affect your mental health or peace of mind. (Adler)
5
One of the most important phases of the treatment of the adult stutterer
is that which attempts to change the shame and embarrassment that are
associated with the act of stuttering. (Van Riper)
29
The basic principle is that stuttering is something you
are doing and you can learn to change what you are
doing.1
About the Program
Since it is important for you to understand the overall therapy plan, we explain briefly how this program
works.
First, you will be asked to try out a helpful therapy
procedure described in the next chapter. This will be particularly beneficial for those who feel they need some
immediate relief.
Then it is suggested that you comply with twelve common sense helpful recommendations or ground rules to
improve your speech. These ground rules are designed to
supply you with practical ways of coping with your
difficulty.
By complying with the recommendations of these
rewarding ground rules, you will be concentrating on
reducing both the severity and abnormality of your difficulty and reducing the number of your stutterings. And
when you carry out the provisions of these guidelines,
you will be gradually laying the groundwork for gaining
positive control of your speech.
These rules will urge you to
(1) talk more deliberately,
(2) stutter more easily and openly,
(3) make no effort to hide your stuttering,
(4) stop all avoidance practices,
(5) eliminate your secondary symptoms, and
(6) maintain normal eye contact.
1
Your stuttering is something you do, not something that happens to you.
It is your behavior—not a condition. There are mistakes you can correct with
a little self-study and courage. (Sheehan)
30
One particularly important rule will call for you to
make a detailed study of what your speech mechanism is
doing incorrectly when you stutter. In other words, find
out specifically what you are doing when you are having
trouble.1,2
This essential information will be used to help you
change those things you are doing abnormally which make
your speech a problem and help you learn better ways of
coping with your stuttering.3
You should look upon your stuttering as certain things
which you have
learned to do—not as
something which is
…you must learn to desensitize
wrong with you or
yourself to the reactions of others…
which happens to you.
You should try to substitute normal speech behavior of which you are basically capable for the undesirable ways of reacting which you
have learned.
Then you will be instructed on how to cope with these
irregularities by using post-block, in-block and pre-block
corrections. These are the technical names of the methods
which you will learn in order to help you move smoothly
through feared words in a predetermined manner and
enable you to develop a feeling of control.
When you find that you can comply with the ground
rules, you will have made progress in controlling your
1
The first phase of therapy involves assisting persons who stutter to attend
to what they are doing as they stutter. (D. Williams)
2
You’ve got to examine and analyze the act of speaking to see what errors
you’re making. You must be making mistakes somewhere or you would be
speaking fluently. What are you doing that makes your speech come out as stuttering? (Starbuck)
3
For some stutterers simply identifying stutterings as they are being produced is sufficient to enable them to start modifying these very same instances
of stuttering. (Conture)
31
speech. Some rules may affect your stuttering and mean
more to you than others because they may hit your weak
points. As a result, you will find that attaining the goal of
some rules will contribute more to progress in your case.
Unfortunately, there is no way for us to know the particular way you stutter, so we can only suggest that you
try to follow through on all the recommendations.
The length of time needed to accomplish the objective
of each rule will vary considerably depending on the severity of your case and your
resolution in working on
the assignments. It is
Even if your stuttering is mild, you
possible that the time
are urged to move through each
required to reach some
phase of the program.
desired goal can be
measured in days.
However, for others, it may take a long time to bring under
control some stubborn or seemingly uncontrollable habit.1,2
Even if your stuttering is mild, you are urged to move
through each phase of the program. And when you tackle
a guideline we hope you will feel satisfied that you have
reasonably achieved its goal before proceeding to the next
one. By doing this, you will know exactly where you stand
and what progress you are making.
Learning how to help yourself should be the goal of every
stutterer. Your first step will be for you to experiment with a
different way of talking as described in the next chapter. This
is designed to give you some immediate relief.
1
The adult stutterer enters therapy…the first thing he must understand is
that stuttering as it now exists was acquired over a period of time, and that
change is a process which will be gradual—not sudden. (Gregory)
2
But you say you want to stop stuttering. Sure! But first you need to break
up the habit pattern that you have built up over the years and this cannot be
done instantly. (Emerick)
32
A Helpful
Therapy Procedure
This procedure is particularly for those stutterers
who feel that they need some immediate relief, even if it
is temporary. However, it is suggested that you should
try out this experimental procedure, since it can help you
talk more fluently.
It involves talking in a very slow, smooth prolonged
manner. In speaking slowly, it is suggested that you
should take as long as a second or more to slide through
the beginning or starting sound of all words or syllables.
Then continue to prolong
sounds, syllables and words
in a smooth, easy onset
manner.
…change almost always feels
uncomfortable…give yourself
time…
This easy onset slow
drawn-out method of talking, particularly in starting
words, cannot help but give you some relief. It may be
particularly helpful to those who do not have many
strong negative feelings about their stuttering.
We suggest that you try this procedure. At first, you
may not like the way it sounds or feels, but remember
that making a change almost always feels uncomfortable.
Therefore, we don’t recommend talking this way all the
time at first. Give yourself time to become accustomed to
this new manner of speaking.
See next page for details on how to follow through on
this method of treatment.
33
A Helpful Therapy Procedure
Specifics
As you are aware, words are made up of sounds. In
this procedure, you are asked to start the sounds of your
words at an extremely slow, easy, smooth rate by gently
and easily sliding extremely slowly through the first
sound. This could mean taking as long as a second or
more to slide through the beginning sounds that start
your words. This is called “easy onset.”
Then stretch out and prolong all sounds as you voice
them using continuous phonation.1 That means stretching
out and prolonging practically every consonant and vowel
sound, and sliding through and slowing the transition
from one sound to the next sound.2
To do this, start your vocal cords vibrating in a low, steady,
very slow way as you begin to make the sounds of your words
in this easy onset manner with light pressure in your tongue
and lips, also known as “light contacts.” You can tell if your
vocal cords are vibrating by putting your hand on your throat
where you should feel the vibrations.
This extremely slow, drawn-out manner of starting and
prolonging all sounds will result in your having continuity
of sound and airflow with no break in your voicing and no
repetitions. To repeat, stretch out and prolong all your
voicing of sounds, particularly the starting sounds. And
prolong all transitions between all sounds (consonant and
vowel) with light, easy contacts on the consonants.
It is easy to stretch out and prolong vowel sounds, but
you will need to practice stretching many of the consonant
sounds.3 Spend time when alone practicing how to
1
Audible sound prolongations are excellent places to start modifications
with adult stutterers. (Conture)
2
What is required to facilitate fluency is to slow the speed of transitional movements from sound to sound which is what prolongation of voice
sounds provides. (Perkins)
3
Achieve the proper slow rate not by pausing between words, but by
stretching each vowel and consonant. Vowels are easy to stretch.
Consonants are hard. (Guitar-Peters)
34
increase the duration of consonant sounds as some of
them such as t, d, p, b, etc. are “plosive” or “stopping
sounds” but need to be spoken easily and slowly with
light or loose contacts of the tongue and mouth.
This smooth, slow, easy onset, drawn-out manner of
talking should be used on non-feared words as well as
feared words. In short, it should be done all the time you
talk until you get the knack of it. Bind the sounds of your
words together, hitch the beginning of one word to the tail
of the preceding one.
You may feel uncomfortable or embarrassed to talk at
this easy, smooth, slow rate of only some 30 words per
minute, but you need to find out what it can do for you.
To repeat, it is recommended that you use this
smooth, prolonged way of talking when speaking
to others after you have spent considerable time
practicing it when alone.1
You may hesitate to talk this way because you feel
people will wonder why you are doing so. Tell them the
truth - that you are working on your stuttering. There is
nothing to be ashamed of, and your friends will be glad to
help. After using this manner of talking for some time,
one may slowly and gradually increase the rate at which
the words are started and spoken, unless trouble occurs.
In this case, you should go back to the slower rate at
which you had no difficulty.
1
Any action that emphasizes or enhances smooth transitions from sound
to sound, syllable to syllable, or word to word, will be beneficial for on-going
speech. (Agnello)
35
This easy onset, slow, flowing manner of talking is a
commonly used procedure which can give you considerable relief and enable you to speak more easily. It may
not solve your problem completely but will most likely be
helpful.
In any event, it will show you and others that you are
accepting your stuttering as a problem, not as a curse,
and are working to cope with it. People respect that
attitude. Start now.
Conscientiously work for some time—possibly a couple of weeks or more on the program as described
above. By then you will know what benefit you can
derive from this approach to therapy.
Reminder—The quotations and footnotes in
this book have been taken from the writings of
speech pathologists and medical doctors. They have
earned degrees as doctors of philosophy or medicine
and know what you are up against as they have
been stutterers themselves. They understand your
problem from observation and experience and represent a most distinguished array of authority and
prestige in the field of stuttering. Their names and
titles are listed starting on page 186. Those who
have been stutterers are marked with a star by their
name.
36
The All-Important Ground Rules
Adopting Rewarding Habits and
Beneficial Practices
We hope that experimenting with the procedure advocated in the last chapter enabled you to communicate
more easily with less difficulty. However, we are not
recommending that you permanently employ this manner
of talking for several reasons. First, it may not work for
you at all times in all situations. You may find it difficult
to remember to use the fluency shaping techniques when
stressed or excited. Secondly, you may not feel comfortable speaking in this way with all listeners.
The rules described in this chapter will explain how to
manage your stuttering by putting into effect certain
basic remedial practices. These consist of twelve allimportant rules which briefly summarize this program.
In a general way, they outline how you can manage your
difficulty by taking advantage of two approaches.
First, through modifying your feelings and attitudes
about your stuttering by decreasing your speech fears
and avoidance behaviors.
Second, through modifying the irregular behaviors
associated with your stuttering by using certain techniques which will change the form of your stuttering so
you can speak without abnormality.
There are twelve of these rules. We wish we could recommend a simpler program, but unfortunately, as has
been pointed out, stuttering is a complicated disorder.
37
The Ground Rules
Therefore, it is advisable to take advantage of all the
approaches available which can work toward solving your
problem.
It is suggested that you first read over and carefully
study the rules which are described on the following pages.
To make progress, it is necessary for you to do your best to
comply with each of these—working on them one at a
time.
It is best to tackle them in the order in which they
are listed, although that is a matter of discretion. As
listed, the rules are directed first at reducing the sensitivity you may have about your stuttering and stopping all
avoidance habits. Then you will concentrate on correcting
what you are doing wrong when you stutter.
Toward this latter objective, an important rule will call
for you to make a detailed study of what you are doing
unnaturally with your speech mechanism as you stutter.
Then this information will be employed to enable you to
eliminate those things you are doing unnecessarily and
correct what you are doing wrong.
To rectify your faulty speech mechanism behaviors,
you will be instructed to use post-block, in-block and
pre-block corrections. These terms refer to methods
designed to help you move smoothly through feared words
in a predetermined manner so you can develop a feeling
of control.
Working on accomplishing the objectives of these rules
will not be easy—in fact, it may be a long drawn-out, worrisome process. Obviously, it will take time and determination not only to work on reducing your fear of difficulty
but also to change the pattern of your speaking behavior.
38
The Ground Rules
Some rules may reduce the amount of your stuttering
and mean more to you than others because they hit your
weak points. As a result, you may find that attaining the
goal of some rules may contribute to more progress than others. Unfortunately, there is no way for us to know your particular weaknesses so we can only suggest that you
follow through on all the recommendations.
Remember, you are your own therapist, and you may
have no one to supervise you if you do not follow through on
these rules. Perfect compliance is not possible and is not
expected, but results are what you want and need.
Working on these beneficial practices and modifying your
stuttering should be the key to your making progress.1 It may
be best to work on trying to comply with only one rule at a
time. When you feel you have attained the desired results
of that assignment, even though it may take a long time,
then tackle the next rule.
Schedule practice sessions to coincide with routine
daily activities such as meal times, lunch breaks, or going
to and from work or school. Unscheduled practice
generally leads to little or no practice.
Make a real effort to sincerely comply with each of
these guidelines to the best of your ability. It will be
worthwhile. Give yourself a strong dose of will power and
have confidence in your ability to make progress. The
following chapters will explain explicitly how to work on
achieving the objective of each rule. Here they are—let’s go
to work on them.
(Some stutterers feel little or no shame and embarrassment about their
stuttering. They need not be as concerned about the rules directed at reducing
shame and embarrassment as others do.)
1
It is surprising how much just the mentioning and demonstration of these
and other corrective techniques can add to your ability to use them and how
much they can increase the speaking comfort of both yourself and your listener.
(Vinnard)
39
Therapy must be practiced full time to be highly successful.
You must feel that you are on the right track and you must be
committed to putting the program into practice. Plan your work
well, then work your plan harder than you have ever worked
before. Success will follow. (Boehmler)
When you go into therapy, when you begin to modify your
speech pattern, go full tilt, reach for the home run…Quit feeling
sorry for yourself.
—Emerick
40
Modifying Stuttering Behavior
The Ground Rules
(1) Make a habit of always talking slowly and deliberately whether you stutter or not. It is better to go too
slow than too fast.1 It is easier to control a slow turtle than
a fast rabbit, so slow down.
This first guideline calls for you to build the habit of
always talking slowly and deliberately. This induces a
manner of talking which is generally respected. But it is
mainly recommended because it will result in a more varied and relaxed manner of speaking which is more responsive to therapy procedures.2
Also, taking your time when talking tends to counteract
feelings of time pressure that stutterers sometimes have
when called on to speak. Some speak too quickly, trying to
get their words out before they stumble or block. This just
tends to generate tension and aggravates their stuttering.3
To help reduce time pressure, it is also suggested that
when you talk, you should often pause momentarily
between phrases (or sentences). This will help lessen timepressure reactions.4
Temporarily accepting your role as a stutterer, resolve to
make a special effort to talk slowly and deliberately all the
time. It may not be easy to do and will take concentration,
particularly if you have been in the habit of speaking rapidly.
It may also feel unnatural at first, but if you can adjust to
this manner of talking, it will be beneficial. Most importantly,
you will be under much less time pressure.5
See page 61 for details on how to follow through
on this rule.
Talk slowly and deliberately. (Agnello)
Panic, tension and an overwhelming urgency are the hallmark of stuttering: they are what you need to overcome. (J. D. Williams)
3
Slowing down the rate of speech has been found to be a strong aid to reducing stuttering. (Stromsta)
4
Remember speech sounds better in short phrases with frequent pauses.
(Aten)
5
Rate is a particularly useful clinical entry point for establishing fluency
and maintaining it. (Perkins)
1
2
41
The Ground Rules
(2) When you start to talk, do it easily, gently and
smoothly without forcing and prolong the first sounds
of words you fear. That means talking firmly with your
voice smoothly flowing into the sounds of words with light,
loose movements of your lips, tongue and jaw.1
This most important guideline suggests that when you
stutter, slide smoothly and gently into the words in as easy
and calm manner as possible.2 If you can comply with this one
rule and let yourself stutter easily, your severity will lessen
and so will the frequency of your stuttering.
Also, this rule recommends that while talking easily, you
prolong the first sound of any word you fear. And furthermore, that you make a point of prolonging the transition to
the next sound or sounds of that word.3 This only refers to
words you fear.
It is not suggested here that you prolong all sounds of all
words.
Some try to cope with their problem by trying to force
words out at the same time as they close off the airway by
squeezing the lips together, or pressing the tongue tightly
against the lips together, or pressing the tongue tightly
against the roof of the mouth. This makes no sense. You
can’t pour water out of a corked bottle. Explore how easily
you can stutter.
Substitute easier ways of stuttering for your abnormal
and frustrating habits.4 Stutter easily and calmly. You will
feel the difference.
See page 65 for details on how to follow through on this rule.
1
Many stutterers have learned as I have learned that it is possible to
stutter easily with little struggle and tension. (Sheehan)
2
Your immediate goal should be to allow yourself to stutter openly and
without tension and struggle. (Murray)
3
Stutterers should be trained in learning how to make slow transitions
between the first sound of a feared word and the rest of the word. (Van Riper)
4
You must learn to substitute easy, slower, more relaxed movements for
rushed, tight, forced movements. (Aten)
42
The Ground Rules
(3) Stutter openly and do not try to hide the fact
that you are a stutterer. Bring it into the open as there is
no advantage in pretending that you are a normal speaker.1,2
Trying to hide your stuttering only helps to perpetuate it.
Tell people with whom you talk that you are a stutterer and
adopt an attitude of being willing to stutter voluntarily. If you
adopt a frank and open attitude, it will help to reduce what
shame and embarrassment you may have about your difficulty.
Feelings of shame and embarrassment only tend to
increase your fear of difficulty. And fear of difficulty helps to
build up tension or tightness in your speaking apparatus
which aggravates your trouble.3,4,5
If stutterers did not try to hide the fact that they stutter, most of them would be less sensitive about their problem and, as a result, have much less difficulty. To desensitize yourself and increase your self-confidence is a difficult
assignment as it will take time to get rid of your fear.
However, the more you work at it, the happier you will be.
Practice openly the techniques you have learned to
reduce the frequency and severity of your stuttering
blocks. This should add to your ability to use them more
easily.
The first thing you must become is an honest stutterer. (Starbuck)
Many stutterers will go to any lengths to conceal from others the fact
that they stutter. There is great fear of losing face. (Murray)
3
If you are like all of the other adult stutterers I have known, you create,
without meaning to, of course, a major share of any adjustment difficulties
you may have…by trying to cover up, conceal or disguise the fact that you
talk the way you do. (Johnson)
4
In order to reduce the amount of stuttering you do, you must reduce
your fear of stuttering. (Trotter)
5
Your fear of stuttering is based largely on your shame and hatred of it.
The fear is also based on playing the phony role pretending your stuttering
doesn’t exist. You can do something about this fear if you have the courage.
You can be open about your stuttering above the surface. You can learn to go
ahead and speak anyway to go forward in the face of fear. (Sheehan)
1
2
43
Modifying Attitude
The Ground Rules
Therefore, let’s work on reducing the fear you may
have about your speech by willingly admitting to others
that you are a stutterer. Find occasions to discuss it with
those with whom you talk.1,2 Tell them you are working on
your speech.
One objective of this important rule is to increase your
ability to tolerate stress and build your self-confidence
through desensitization.
As part of this guideline you will be encouraged to sometimes stutter voluntarily on purpose. By deliberately doing
what you dread, you may be able to get some relief from the
fear and tension which aggravate your problem.
See page 69 for details on how to follow through on this
rule.
Yes, I am a stutterer, and I hope that it will help any stutterer
who may read this to know that I was such a severe stutterer that
I could not put two meaningful words together until I was twentyfour years old. Do I still stutter? Oh, I call myself a stutterer because
I still have small interruptions in my speech now and then. But,
there’s another more important reason why I call myself a
stutterer. I’m not trying to hide the fact anymore!
—Rainey
They should cultivate the ability to discuss their stuttering casually and
objectively with others. (Bloodstein)
2
You need to communicate more openly and easily with other people including being frank about your stuttering. (Boland)
1
44
The Ground Rules
(4) Identify and eliminate any unusual gestures,
facial contortions, or body movements which possibly
you may exhibit when stuttering or trying to avoid
difficulty.
This does not refer to what you do incorrectly with your
muscles of speech which will be carefully investigated later.
The above rule refers to unnecessary mannerisms or noticeable movements which may characterize the particular pattern
of the way you stutter; these are called “secondary symptoms.”
Secondary symptoms include such things as head jerks,
eye blinking or closings, hand or arm movements, foot tapping,
ear pulling, knee slapping, raising eyebrows, facial grimaces,
finger tapping, covering your mouth with your hand, etc., etc.
To accomplish this, it will be necessary to find out and identify what secondary symptoms you have. This information is
needed so you can work at eliminating them. These are bad
habits which possibly you may have fallen into, thinking they
would help you speak more easily but in fact they only add to
the abnormality of your stuttering.1
Possibly you have no such unnatural behaviors, but check
yourself carefully as described in the chapter on eliminating
secondary symptoms.2 If you find you have such behaviors,
let’s work on getting rid of them. Obviously, they are not necessary for the production of speech.3
on this rule.
When these reactions are recognized as secondary symptoms, they can
gradually be minimized and controlled and the stammerer is then in a better
position to contend with the primary speech disorder. (Bluemel)
2
Become aware of head or arm movements, eye blinking, other movements
or body rigidity, lip smacking or other noises, puffing of the cheeks or pressing
the lips. (Moses)
3
He (the stutterer) will learn, much to his surprise, that these
secondary symptoms are not an integral part of his disorder, that it is possible
for him to stutter without using them. (Van Riper)
1
45
Modifying Behavior
The Ground Rules
(5) Do your best to stop all avoidance, postponement or substitution habits which you may have
acquired to put off, hide or minimize your stuttering. It is
very important to make a practice of not avoiding, postponing or substituting.1
Much of a your difficulty may be traced to avoidance
practices. While temporarily affording relief, such habits
actually increase your fears and cause more trouble in the
long run.2 For instance, if the telephone rings and you
refuse to answer because you are afraid you won’t be able
to talk well, the act of avoiding this situation will only tend
to build up your fear of the telephone.3
To help cancel fear, you should do your best to not
dodge speaking situations, avoid social contacts, give up
speech attempts or leave the scene of approaching trouble,
substitute words or use postponements.4 Don’t avoid
words you might stutter on—and keep your appointments.
This can be a really tough assignment but many
authorities feel that non-avoidance will give you more
relief than any other therapy procedure.5 Avoidances
have been described as a pump in the reservoir of fear.
1
Don’t avoid certain words or situations that trigger stuttering. Face them
head-on. It’s far better to stutter than to avoid speaking situations because the
fear of stuttering just compounds the problem. (Murray)
2
And what actually happens is that the more you cover up and try to avoid
stuttering the more you will stutter. (Barbara)
3
Avoidance can be defined as a process of shying away from the responsibility of facing your problems. (La Porte)
4
You must sharply reduce or eliminate the avoidances you use. Everytime
you substitute one word for another, use a sound or some trick to get speech
started, postpone or give up an attempt at talking, you make it harder for yourself. (Emerick)
5
The more you run away from your stuttering, the more you will stutter.
The more you are open and courageous, the more you will develop solid fluency.
(Sheehan)
46
Modifying Attitude
The Ground Rules
It would be good if you could develop a feeling inside
yourself that you will eagerly hunt out and eliminate
avoidances.1,2 This feeling will come if you can make a practice of doing things you fear without giving yourself time to
talk yourself out of them. It is particularly important for the
stutterer to establish speech that is avoidance-free.3
See page 85 for details on how to follow through on this
rule.
Much of your difficulty may be
traced to avoidance practices.
1
The stutterer should develop a conscience which itself will penalize the
tendency to avoid. (Van Riper)
2
One of the primary concerns of therapy is to develop in stutterers a
conscience that prevents them from avoiding stuttering. (Bloodstein)
3
Stuttering is one thing that gets a lot easier if you don’t try to hide it.
(Guitar)
47
Modifying Attitude
The Ground Rules
(6) Maintain eye contact with the person to
whom you talk. Possibly you may already do so, but
if not, start looking your listener in the eye more or less
continuously in a natural way.1 It is particularly important
for you not to look away when you stutter or expect to.
Possibly because they are ashamed of their speech
difficulty, many who stutter have a tendency to avoid
looking at their listener when stuttering.2,3 Using continuous normal eye contact will work toward reducing feelings
of shame and embarrassment. If you do not already
maintain healthy, normal eye contact, concentrate on
doing so.4
on this rule.
1
Establish eye contact before you begin to speak. Two or three seconds of
quiet eye contact can get you off to a better start. (Sheehan)
2
Try to maintain eye contact with your listeners. Looking away severs the
communication link with your audience and convinces them that you are
ashamed and disgusted with the way you talk. (Moses)
3
As a matter of fact I had to tell him that I would feel more comfortable if
he would look at me while we talked, and it was interesting that as he began to
look at me, he struggled less and less. (Rainey)
4
Maintaining eye contact may sound easy. For many people it is very hard.
I know stutterers who have gone through various therapies with some success
but who still have been unable to break their old habit of looking away from
their listener when a block begins. (Murray)
48
Identifying Stuttering Behavior
The Ground Rules
(7) Analyze and identify what your speech muscles are doing improperly when you stutter. It is an
essential and very important part of this program for you
to be able to determine specifically what you are having
your speech muscles do incorrectly when you stutter.1
This involves finding out what you are doing wrong or
unnecessarily which needs to be modified or corrected.2
To repeat, since you are using your speech muscles
improperly when you stutter, it is important for you to
discover what you are having them do incorrectly so you
can work on correcting them.3,4
Making use of such an investigation is a key point in
therapy. We urge you to follow through on this rule and
study your speech muscle behavior. Then you can duplicate it in order to compare it with your speech when you
talk without difficulty.5,6
There are various ways to observe yourself. One way
would be to hold on to your stuttering blocks long enough
to determine what you are doing or stutter slowly enough
to give you time to get the feel of what is happening. Or
watch yourself in the mirror when making phone calls—or
listen to a playback of a tape recording of your speech, etc.
1
When a problem exists, the first thing to do is to examine it carefully with
the hope of discovering what is wrong. (Rainey)
2
Try to identify what you are doing wrong when you stutter. (Emerick)
3
Another important goal in your search for an ultimate cure is to acquaint
yourself with your stuttering behavior. (Barbara)
4
Pay enough attention to the things you do that interfere with your normal
speech, the things you do that you call your stuttering; that is, to understand
that they are unnecessary and to change or eliminate them. (Johnson)
5
For some stutterers simply identifying stutterings as they are being
produced is sufficient to enable them to start modifying these very same
instances of stuttering. (Conture)
6
Stutterers need to learn what to do when they do stutter if they are to
eventually reduce the fear and frustration involved. (Czuchna)
49
Identifying Stuttering Behavior
The Ground Rules
Or, if video equipment is available, it is most worthwhile to have videotapes made of yourself when stuttering. Being able to study what you are doing is a powerful
tool in enabling you to work on changing what you are
doing wrong. Seeing yourself and hearing yourself stuttering can be both revealing and motivating.
It will take courage to do these things but you
definitely want this information to help solve your problem so you will become fully aware of what needs to be
modified or corrected.1 Hopefully you will be able to feel,
watch and hear yourself stuttering.2 With this information it will be possible for you to answer the following
three questions:
1) what am I doing?
2) why am I doing it?
3) what else can I do?
Speaking in front of a video camera
Important
See the chapters starting on page 99 on finding out what
you do when you stutter—and on analyzing blocks. They include
a section explaining how one stutterer could work on saying his
name without difficulty.
1
The stutterer must come to know just what he does when he approaches a
feared word or situation. (Van Riper)
2
You, as a stutterer, must study your speech pattern in order to become
aware of the differences between stuttered and fluent speech. (Neely)
50
The Ground Rules
(8) Take advantage of block correction
procedures designed to modify or eliminate your
abnormal speech muscle stuttering behavior.
Understanding and efficiently operating these procedures
can be the key to your making substantial progress.
These useful procedures include (1) a post-block
correction which explains what you should do about a stuttering block after it has occurred, (2) an in-block correction
which explains what you should do about a block as it is
occurring, and (3) a pre-block correction which calls for you
to plan and prepare for it so it will not occur.
They are employed to help you develop a feeling of
control by taking advantage of the knowledge gained from
the study of your blocking difficulties as discussed under
Rule (7).
These are to be put to work only after you have
studied and identified what you are doing abnormally with
your speech mechanism when you stutter.1 With the use of
this information the block corrections referred to above
will help you use the strategy needed to eliminate, modify
or correct these abnormalities.2,3,4
To follow through on these most significant and important
procedures, see chapters on block corrections starting on
page 113.
1
You don’t have a choice as to whether you stutter but you do have a choice
as to how you stutter. (Sheehan)
2
Stuttering consists mainly of learned behavior. This behavior can be
unlearned. (Murray)
3
Stuttered forms of speech can be changed in various ways just as handwriting can be modified. It is this changing of an established habit that requires
work. (Neely)
4
After the stutterer gains the knowledge of how he stutters through block
analysis, he is ready to attack and defeat his most dreaded enemy. This is
accomplished by the use of post-block, in-block and pre-block corrections.
(Starbuck)
51
The Ground Rules
(9) Always keep moving forward as you speak,
unless you repeat purposely to emphasize a word or
thought. If you stutter, plan to stutter forward so as not
to hold or repeat any sound. Some stutterers have the
habit of repeating sounds which are difficult for them
when trying to get through a word (b-b-b-boy, etc.)
When you start and voice a sound or word, there is no
use holding or making it over again.1 Continuing the flow
of your voice will work against any tendency to hold a
block, prolong or repeat sounds or words on which trouble is anticipated.2
The idea is to keep your voice moving forward from
one word or sound until the next. When you anticipate
trouble on a word, plan to use a prolonged easy onset on
the first sound and on the transition to the next sound
but keep the voice
going forward.3
…going back will never get you
In other words, try
anywhere worthwhile.
to say what you have to
say without repeating
or back-tracking. Going
back to get a running start may possibly get you past a
block but will never get you anywhere worthwhile. So do
your best not to ever repeat or hold sounds, words or
anything unless you are repeating purposely to emphasize a word or thought.
You may not realize what you are doing until you hear
and see yourself on tape.
1
Why continue to make a sound when you have already produced it? (Van
Riper)
2
The stutterer needs to stutter forward. He needs to go ahead…without
regard to anticipated difficulty. (Sheehan)
3
Keep going forward slowly but positively. (J. D. Williams)
52
The Ground Rules
(10) Try to talk with inflection and melody in a
firm voice without sounding affected or artificial. Avoid
talking in a monotone and keep varying your speaking
rate and its loudness. Speak in a melodious manner
without sounding artificial. Using natural expression
with variations in tone and rate will make your talking
more relaxing and pleasant.
(11) Pay attention to the fluent speech you have.
Feel its movements and postures. Don’t just be aware of
your stuttering. Listen to yourself when you are fluent.1,2
You need to recognize and remember your successful and
pleasant speaking experiences. Mentally replay successful speaking situations and feel your fluency to build your
confidence.
Remind yourself that you have the ability to speak
fluently. To help give yourself that feeling, spend time
speaking or reading to yourself when relaxed and alone.
Do some of this while watching yourself in the mirror. As
you do it, be conscious of the fact that it is possible for
you to speak easily without effort in a normal way without difficulty.
1
Pay more attention to your normal speech than to what you think of as
you’re stuttering. (Johnson)
2
Practice monitoring your speech while speaking slightly more slowly and
deliberately, even when you are perfectly fluent. (Ramig)
53
The Ground Rules
(12) While working on this program try to talk as
much as you can since you will need every opportunity to
work on the procedures recommended. This does not
mean that you should make a nuisance of yourself but
talk more—you’ve probably been silent long enough.
Speak out when you want to.1,2,3 If opportunities to talk
do not exist, you should do your best to create them.
Let others hear your ideas. If you can’t find a listener,
there’s always the phone. Call a department store and
ask a question.
These are the all-important ground rules which
should govern your speech behavior. They briefly outline
the practices which should enable you to manage your
disorder.
Later chapters in this book will give a more complete
description of how to go about complying with these rules.
So it is strongly suggested you read and study each
chapter identified with each rule.
1
Findings suggest that the more a stutterer talks, the better, and the more
people he talks to and the more situations he talks in, the better. (Johnson)
2
The stutterer should be encouraged to talk as much as possible. (Brown)
3
Saturate yourself with speech. There is a direct correlation between speaking time and fluency. (G. F. Johnson)
54
The Ground Rules
Goals and Challenges
Working on modifying or changing your stuttering is
challenging—you will be conquering situations from which
you have always retreated.
Focus on the fact that you can change what you are
doing, and stuttering is something you are doing and
not something that happens to you.1,2
As you change your speaking behavior, you will find that
your emotional reactions will change. When this happens,
in turn it will be easier to change your speaking behavior.
Develop a Hierarchy
Let’s tackle the problem. How do you go about achieving
these goals? Plan to go at it easily but in an organized
way with determination.
You may want to start by systematically tackling one
rule at a time. Possibly work on one which would be easy
and then take the next hardest.
Develop a hierarchy of situations and assignments.
That is to say, begin by going from the easiest situation
and work your way up. In this way, you gain confidence
as you move ahead.3
Stuttering is a series of activities you do. (Emerick)
Speech is something produced by the speaker and as such is something
the speaker can modify and change. (Conture)
3
Another philosophy of my therapy has been that by tackling situations
of increasing difficulty, others that were once hard become easier. (Gregory)
1
2
55
The Ground Rules
Make a list of 5 to 10 speaking situations going from
the easiest to the hardest. Use Ground Rule Number 1,
speaking slowly and deliberately, in these situations:
1.
2.
3.
4.
5.
6.
7.
talking when alone or with a pet (easiest)
talking with a close friend
ordering in a restaurant
making a phone call to a friend
making a phone call to a stranger
having a conversation at work
participating in a meeting at work (hardest)
You will need to develop your own hierarchy as the
points listed here may not be right for you.
talking on the
phone
public
speaking
ordering in
a restaurant
discussing with
a friend
talking to
your dog
Artwork by Nancy Muldowney
A hierarchy going from easier situations to harder ones.
56
The Ground Rules
Set Up a Daily Quota
Set up a daily quota for yourself. You may want to
repeat step one—talking with a close friend using Rule
One, speaking slowly and deliberately—for several days
or even weeks before you move to step two, ordering in a
restaurant, speaking slowly and deliberately.
On the first day, collect at least one instance in which
you fulfill the requirements of one rule; then two in a
row; then three in a row and so on.
Make careful note of your accomplishments in your
workbook every day, perhaps in the evening at bedtime.
The key is to do it regularly every day more or less at the
same time.1
Minimum and Maximum Goals
In defining your goals, set up a minimum you feel sure
you can do and a maximum that may strain your motivation and yet be achieved. For example, devise the following
for the rule calling for you to speak slowly and deliberately.
For a minimum goal “I will talk slowly and deliberately
while reading aloud to myself for five minutes;” for a maximum goal “I will use it on several phone calls whether
I stutter or not.” Each day record your performance honestly, and try to cover all of the rules and in subsequent
days gradually increase your quota.
1
Adult stutterers have taken many years to develop their speech problem
and their reactions to and emotions regarding it. This type of behavioral-emotional complex will not be changed overnight, and we believe the stutterer
should be prepared for moments, hours and days of difficulty. We said prepared,
and not excused. (Conture)
57
Sunday
Saturday
Friday
Thursday
Wednesday
Tuesday
Monday
Minimum Goal
Maximum Goal
SAMPLE CHART
Results
How did I do?
The Ground Rules
Rewards
It will help if you set up a system to reward yourself.
Find something you’d like to do such as reading a magazine
for an hour, watching TV or eating a snack, etc., and let
yourself do it only after you have accomplished a specific
goal. Alternately, you might allow yourself to buy something you really need or want after you have done so
many assignments.
It may be quite difficult for you to comply with some of
these guidelines since you are changing habits which you
have had for years.1 If sometimes you try and fail on some
of them, do not get disheartened. Others have met difficulties and conquered them. Give it time. If you can only reduce
the tension and severity of your struggle behavior by learning to stutter easily and openly, you will have made a lot of
progress toward your goal.
The following chapters will discuss most of the recommended procedures and how they can have an impact on your
stuttering and the ease with which you speak.
Desirable Equipment
For use in modifying your stuttering habits certain items
can be of assistance. One is a reasonably large mirror (at least
15⬙⫻18⬙) which can be moved around and situated where you
can observe yourself closely when talking on the phone.
It is important for you to also have on
hand a notebook in which to keep records
of your work every day.
Also, it will be helpful if you can obtain
the use of a small tape recorder which you
can carry around with you to record the
1
Listening to yourself stutter on a tape recorder is another good way of
helping reduce your fear of stuttering. (Trotter)
59
The Ground Rules
way you stutter.1,2 Small recorders not much bigger than
your hand are readily available, and they can be purchased
at a fairly reasonable price.3,4 You may not realize what you
are doing when you stutter and will only realize it if you
hear yourself on tape.
If you can afford the expense, it would be even more
advantageous for you to use a videotape recorder. With its
use, you can make videos of your speech. This enables you
to both see and hear yourself as you try to speak, just as if
you were on television.
If you do obtain a tape recorder, the question will arise
as to what is the best way to get recordings. We hope you
can find a way. If you have trouble talking on the phone, you
might put the recorder nearby when you are making phone
calls. Some stutterers have experimented with going into
stores to discuss buying items of interest and making
recordings of the conversations. At least five or ten minutes
of recording time is desirable.
The playback of such recordings can help you identify what
you are doing incorrectly.1,2,3 Any and all recordings should help,
and it is important for you to continually make daily notes in
your notebook concerning your efforts to make progress.
The following chapters will discuss most of these ground
rules and how they can have an impact on your stuttering
and the ease with which you can speak.
1
There is nothing like being able to hear your own speech in order to judge
what you do and don’t like about it and to decide what changes to make as you
practice. (J. D. Williams)
2
By using a tape recorder you tend to learn faster than your stuttering is,
indeed, your own doing, and the changes you can make in what you do are very
substantial. (Johnson)
3
A recorder and a mirror are useful in enabling the individual
to understand his audible and visible defects of speech. (Ansberry)
4
A tape recorder will prove a good investment for the stammerer. (Bluemel)
60
Rule (1)
(page 41)
Talking Slowly and Deliberately
The first rule calls for you to build a habit of talking
slowly and deliberately, whether or not you stutter. This is
recommended for a couple of reasons. First, it induces a
manner of talking which is generally respected and
admired, and secondly, it will result in a more varied,
relaxed manner of speaking which is more responsive to
therapy controlled procedures.
Temporarily accepting your role as a stutterer, resolve
to make a special effort to talk slowly and deliberately all
the time.1 This will not be easy to do if you normally speak
fairly rapidly. It may take considerable effort to talk slowly
whenever you speak.
It will help if you can spend at least five to ten minutes
a day practicing when you are alone. You might read to
yourself at a gradual slow rate in line with what you should
use in conversation with others. Then possibly think of
some subject about which you are informed and talk to
yourself slowly and deliberately.
When you are with others, always try to resist feelings
of time pressure. At the moment you are expected to speak,
you may sometimes have an almost panicky feeling of haste
and urgency.2,3 You think that you are under “time pressure”
with no time to lose, and you have a compulsive feeling that
Try stuttering slowly. Keep stuttering, but do it in slow motion. (Guitar)
I have always felt a great pressure to give a reply within a split second and
with just the right and exact words. Other stutterers feel this, too. Isn’t it silly?
(Garland)
3
Stutterers generally stutter too fast and get into tremors because they do.
(Van Riper)
1
2
61
you must speak quickly without taking the time for deliberate
and relaxed expression. Do your best to resist this time
pressure feeling.1,2
Stutterers are also apt to fear silence when they
are embarrassed. Accordingly, it is suggested that when
talking, you should experiment with occasionally pausing.
When speaking a sentence, pause momentarily (very
briefly) between words and between phrases. There is no
hurry—probably you are not taking as much time as you
think—take your time. Unless there is a fire, people will
wait to hear what you have to say. Let them wait and don’t
hurry saying “hello” on the phone. Pause! Take your time.
If you have a tape recorder available, this is an
opportune time to make a recording of the way you
talk, particularly if you have not yet started speaking
according to the recommendations of this first rule.
Making a recording of the way you usually stutter
will supply important information to be used in this
program.3 For example, listening to such a recording
should help you discover what, if anything, needs to be
done to qualify you as speaking slowly and deliberately.
The question arises as to what may be the best way
to get a recording of your stuttering. If you have trouble
talking on the phone, you might place a microphone
near when you make several phone calls—at least five
or possibly ten minutes of recording time is desirable.
Panic, tension, and an overwhelming urgency are the hallmarks of stuttering; they are what you must overcome. Totally resist any feelings of hurry
and pressure. Let ’em wait. (J. D. Williams)
2
A basic feature of stuttering behavior is that the stutterer is under time
pressure to a great extent. The stutterer has to learn how to permit pauses in
his speech, to risk the fear of silence, to give himself time to catch his breath to
resist the time pressure. (Sheehan)
3
A tape recorder will prove a good investment for the stutterer. (Bluemel)
1
62
Then later, take the time to listen to the recordings.
Did you talk slowly and deliberately and thus set an
example of the rate at which you should speak? Later
you will use these recordings to study your speech.
Of course if possible, it would be even more advantageous in studying your speech if you could have
videotapes made of the way you talk. This enables you
to both see and hear yourself at the same time.
As a speech pathologist working with adult stutterers,
I have found that the most important factors that determine
progress are (1) that the stutterer have a goal that requires
better speech, and (2) that he form the habit of working consistently and steadily to accomplish his purpose.
—Gregory
63
When you become aware that the struggling behavior you call
stuttering is something you are doing as you talk and not something that magically “happens to you,” you are in a very good
position to begin to change what you are doing as you talk so
you can talk more easily.
—D. Williams
64
Rule (2)
(page 42)
Stuttering Easily
with Prolongation of Feared Words
This most essential second rule suggests that you
make a practice of stuttering easily and smoothly without forcing. It doesn’t call for you to stop stuttering, but
to do it calmly, smoothly, sliding into the sounds of words
with light, loose movements of your tongue, lips and jaw.1
Making light contacts of your speech muscles is sometimes referred to as ‘easy onset.’
There is nothing to be gained by trying to force troublefree speech.2 Instead, try to maintain an easy, relaxed manner
with reduced tension.
Don’t struggle when you talk. One of the ways you can
tell if you are struggling is
to monitor the amount of
Don’t try to force trouble-free
air pressure in your mouth.
Try not to let it build up
speech.
behind your lips or tongue.
Try stuttering with the lips
loose and the tongue not pressing tightly against your gums
or palate. Why erect a blockade in your mouth behind which
the air pressure increases greatly?
Most stuttering, to some extent, results from efforts to
force trouble-free speech.3 Unfortunately, the mechanism of
speech is too complicated to function properly when force is
1
They (referring to stutterers) must learn to move easily through words
rather than recoiling from them. (Czuchna)
2
We struggle against ourselves trying to force speech. (Garland)
3
It is in fact probably impossible to stutter in any way at all without excessive muscular tension in some form. (Bloodstein)
65
Stuttering Easily
applied. So, if you can comply with this rule and let yourself
stutter easily, your severity will be lessened and so will the
frequency of your stuttering.
Although this may be difficult to carry out, we also recommend that when you are alone, you practice relaxation of
your speech muscles. This calls for you to purposely tense
yourself, particularly in the mouth area. And then release or
reduce the tension so the difference can be felt.
It will also help you talk more easily if you make a point
of prolonging the first sound of any word you fear and then
prolong the transition to the next sound or sounds of that
same feared word.1
This does not call for you to prolong all sounds of all
words even though possibly you found out in the procedure
described on page 33 that it helped you to do this. However,
as stated above, it is suggested here that just on feared
words, you prolong the first sound of such words and then
prolong the transition to the next sound or sounds of the
same feared words.2 This could mean taking as long as a
second or more in making the gradual transition to the next
sound.
Obviously, there are some feared consonant sounds
which cannot be prolonged. These consonant sounds are
called plosives, referring to the sounds of consonants like ‘p,’
‘b,’ ‘t,’ ‘d,’ ‘k,’ etc. Still, with light contacts, you should ease
into such sounds by stretching out the following sounds of
that word. For instance, on the word ‘cat,’ make a light
contact on the ‘k’ sound and then make a point of slowly
shifting into the vowel sound of the ‘a’.
1
By deliberately permitting yourself to prolong the initial sounds of many of
the words you will be taking the psychological offensive. (Murray)
2
Stutterers should be trained in learning how to make slow transitions
between the first sound of a feared word and the rest of the word. (Van Riper)
66
Stuttering Easily
Practice talking smoothly and easily by reading aloud
when alone for five to ten minutes a day. Read in a firm
voice but keep your speech movements loose and
relaxed.1 The idea is to get accustomed to using gentle,
light control of your muscles of speech whether or not
you stutter.
Then, of course, it is advisable for you to practice
making prolongations of the first sounds of feared words.
Probably you have no fear of difficulty while reading alone.
Still, while reading you might pick out certain words on
which you normally stutter. Then when you come to these
words, experiment by slowly shifting into and prolonging
the starting sound and then make a particular point of
prolonging the transition to the next sound.
It can be a problem to accustom yourself to this easy
manner of talking. You will forget at times, but you
should use reminders. For instance, you could put up a
sign on your clock or mirror reading “remember to easystutter today,” or put a rubber band on your wrist so you
will be continually reminded to direct your efforts toward
talking easily while prolonging certain sounds of feared
words. You could also make a list at night of the times
during the day when you did or did not remember to talk
as suggested.
When you are working on these rules, it is well to
make a record of your progress in your workbook. First,
try for one successful performance, then two in a row,
three in a row, etc. until you have been able to collect five
consecutive listeners to whom you have spoken slowly in
an easy, smooth manner, whether or not you stutter.2
Feel the relaxed easy movements into and out of words. (Aten)
Most clinicians learn that things work out better if goal-setting is structured in times of maximum and minimum goals. The maximum goal should tax
the stutterer’s resources or strength to the limit and yet be possible of attainment, while the minimum goal should almost certainly be expected to be
achieved. (Van Riper)
1
2
67
We hope you will be able to accustom yourself to
effortless talking with prolongation of certain first
sounds and transitions. This guideline by itself will not
stop your stuttering, but it will help you to be under less
tension and stress which will make you happier about
your speech.
Thomas Carlyle
You might be interested in a quotation by a non-stutterer from
a letter written many years ago by Thomas Carlyle, the historian,
to Ralph Waldo Emerson, dated November 17, 1843. He said
“a stammering man is never a worthless one…It is an excess of
delicacy, excess of sensibility to the presence of his fellow-creature,
that makes his stammer.” Even in those days they realized that
sensitivity was an important factor in actuating and maintaining
stuttering.
68
Rule (3)
(page 43)
Admitting That You Stutter
The third therapy guideline calls for you to adopt an
attitude of being willing to openly admit and not hide the
fact that you are a stutterer.1 You may ask why you should
do that when you are trying to not be one.
In order to make headway, it is advisable that you first
adopt an attitude of being willing to talk frankly to others
about your problem. By doing so, you will be lessening the
fear of difficulty you have when talking.
As has been explained, if you are like most stutterers,
you are ashamed of the fact that you stutter. As a result you
try to keep others from finding out that you are a stutterer.
This feeling of shame tends to build up a fear of having
difficulty when you are called on to speak at certain times
and under certain circumstances.2
This fear of difficulty usually builds up tension or tightness in your speech organs which aggravates your trouble.
Unfortunately, one’s speaking apparatus operates in such a
delicate, complex and complicated manner that it is most
difficult for it to operate under tension. So the frequency and
severity of your difficulty is usually in proportion to the
amount of fear and tension you have.3
1
You will remain a stutterer as long as you continue to pretend not to be one.
(Sheehan)
2
Stuttering is one thing that gets a lot easier if you don’t try to hide it.
(Guitar)
3
It is surprising how much just the mentioning and demonstration of these
and other corrective techniques can add to your ability to use them and how
much they can increase the speaking comfort of both yourself and your listener.
(Vinnard)
69
To combat fear and tension—your worst enemies1—
it is necessary to torpedo a lot of your shame and sensitivity.
The amount of energy a stutterer may spend in hiding his
disorder can be tremendous. Some devise intricate strategies of avoidance and disguise or may even assume some
kind of masquerade in the hope, usually a vain one, that the
listener won’t recognize them as a stutterer. This burden
just makes communication more difficult.2
Where does all that anxiety and worry get you?
Nowhere. It only makes matters worse since it just builds
up more fear and tension. So what can or should be done
about it? Even if you are not obsessed with hiding the fact
that you stutter, it will be helpful to get rid of what worry
you do have on this point.
The answer is simple but not easy. You can counteract a
lot of that worry and concern by just telling people that you
are a stutterer and stop pretending that you are a normal
speaker. You should not shirk this assignment. Make occasions to freely admit to those with whom you associate and
with whom you normally talk that you are a stutterer and
be willing to discuss it with anyone.3,4,5
This will take courage on your part, but it needs to be
done to reduce your sensitivity.6 Changing the mental
approach toward your problem cannot be done easily and
quickly, but the more you work at it, the more you can
accomplish. It will pay off to do so. It is no disgrace to be a
1
Many stutterers learn that their greatest enemies are fear and tension.
(Aten)
2
No problem is solved by denying its existence. (Brown)
3
Whenever you have an opportunity to discuss your stuttering with someone, do it! (La Porte)
4
This involves telling friends and colleagues that you are a stutterer working on your speech. (Guitar-Peters)
5
Stutterers must freely admit their problem to associates who may not be
aware of it. (Bloodstein)
6
At some point in the therapy process the stutterer must become desensitized to his stuttering. (Kamhi)
70
stutterer anyway. You may think so, but you are wrong if you
do. Please don’t allow your feelings to defeat your efforts.
Start on this assignment by talking with people you are
close to and then later with strangers with whom you have
conversation. As one person expressed it, “I’m letting the cat
out of the bag right away. I’m telling him I’m a stutterer.
I used to try to hide this because my greatest fear was
having to reveal myself when I met someone. This way,
I take the fear out of the situation right away.”
Another remarked “It took me twenty years before
I would admit to myself, or anyone, that I stuttered. I didn’t
want to acknowledge that I was different. Yet that is precisely what I needed to do in order to take the first step
toward forging a new and more fulfilling identity.”
For example, you might say to a friend something to
the effect that “you know that I am a stutterer and frankly
I have been ashamed to admit it. I need to be more open
about my problem and may need your help.” Any real friend
will appreciate your frankness and will feel closer to you as
a result. Besides you will find that people are interested in
stuttering. Teach them about it.
Complying with this assignment will reduce your tension,
and it will help you accept your stuttering as a problem with
which you can cope with less shame and embarrassment.1
This can make a world of difference and enable you to adopt
a more healthy, wholesome and objective attitude toward your
difficulty, something all stutterers need so badly.
You may think it will hurt your pride to frankly tell
people that you are a stutterer, but it is more likely that you
1
When you begin to really accept yourself as the stutterer you are, you are
on your way to much easier speech and most certainly to greater peace of mind.
(Rainey)
71
Voluntary Stuttering
will be proud of yourself for doing it. Besides there is no use
spending your life pretending.1
Of course you can’t accomplish this goal in a day or two. It
will take time to make contact with people you know and
carry out this recommendation. No matter how long it takes,
it will help reduce your tension and fear if you cultivate an
attitude of being willing to talk about your stuttering.1
Can you do so? As the fellow said “it ain’t easy”—and
that’s putting it mildly. But this is a most beneficial step
toward relieving you of much of your fear and tension.
When working on this third rule, it is suggested that you
be willing to try experimenting with stuttering voluntarily.
Stutterers can usually get some relief from fear and tension
by doing this. If you deliberately stutter, you are directly
attacking the tension which is aggravating your problem by
voluntarily doing that which you dread.2
Voluntary stuttering, sometimes called fake or pseudo
stuttering, should take the form of easy, simple repetitions or
short prolongations of the first sound or syllable of a word or
the word itself. It should only be done on non-feared words
in a calm and relaxed manner.
Do not imitate your own pattern of stuttering but stutter
smoothly and easily in a different way.3,4 Later you will be
Your fear of stuttering is based largely on your shame and hatred of it. The
fear is also based on playing the phony role of pretending your stuttering doesn’t exist. (Sheehan)
2
When the stutterer does voluntary stuttering, he can say to himself, “I am
doing the thing I fear. Also I realize that I can change my speech; I can tell my
speech mechanism what to do.” (Gregory)
3
Deliberately stutter! Yes, stutter on purpose in as many situations as
possible, but stutter in a different way. (La Porte)
4
Even if he feels beforehand that he can speak without stuttering, the stutterer is encouraged to pretend or fake stuttering—but to do so in a way different from his usual manner of stuttering. (Barbara)
1
72
asked to study and learn about your own pattern, but it
is better to stutter in an easy and relaxed way when doing
it purposely.
Whatever type of easy stuttering you decide to use, you
must be sure to keep
it entirely voluntary. It
is not advisable to let
Learn to control the uncontrollable.
it get out of control and
become involuntary.
Experiment by talking slowly and deliberately with easy
repetitions or prolongations that differ from your usual
pattern. It will give you a sense of self-mastery when you
can control the uncontrollable.
Start when alone by reading aloud and calmly, making
easy repetitions or prolongations. Then later, work it into
conversations with others. Make up assignments for yourself in which you are required to stutter voluntarily.1 For
instance, go into a store and ask the clerk the cost of different items, faking blocks on some words. Make the blocks
easy but obvious. Maintain good eye contact while stuttering and be sure to purposely stutter only on words you do
not fear.
Voluntary stuttering can help eliminate some of your
shame and embarrassment.2 The more you can follow
through and practice doing this, the easier it will become.
One means of satisfying the fear of stuttering is to stutter voluntarily on
nonfeared words in all kinds of situations. This has the effect of helping you
reduce the pressure that you feel when you try to avoid stuttering, and of
enabling you to handle your speech more effectively. (Sheehan)
2
We took Patricia out into a variety of public situations and demonstrated
that we could fake stuttering without becoming upset. Gradually she was able
to do this herself, first with us along, and then alone…. In this part of the treatment we saw significant changes in Patricia’s attitudes. She seemed to be seeking out stuttering instead of avoiding it. (Guitar-Peters)
1
73
Aim toward the goal of being willing to stutter without
becoming emotionally involved.1
Work at it for several reasons. It is one way of admitting
that you are a stutterer. It is also a way of finding out how
people react to stuttering and will help you realize that they
are usually kind and tolerant. And it will give you the satisfaction of knowing that you have the courage to tackle your
problem in an obvious way.2
It is also helpful if you inject a little humor or even are
willing to joke about your stuttering.3
Doing this also helps reduce sensitivity. For instance,
occasionally you might advertise the fact that you are a
stutterer or make some joking remark about your stuttering4—such as explaining that if you didn’t talk you wouldn’t
stutter—or announce “there may be a brief intermission
due to technical difficulties.” These remarks aren’t very
funny, are they? Probably not to you as a stutterer, but they
may be to others.
It is helpful to develop a sense of humor about your difficulty.5 At the same time, do not go overboard and laughingly
and fraudently pretend that your stuttering is funny, as some
stutterers have done, while feeling terrible about it inside.
Now I am going to ask you to do a strange thing: to stutter on purpose.
I know it sounds weird but it works. Why? Because it helps drain away the fear
(what have you got to hide if you are willing to stutter on purpose?) and it provides a lot of experience practicing the act of stuttering in a highly voluntary
and purposeful manner. The more you stutter on purpose, the less you hold
back; and the less you hold back, the less you stutter. (Emerick)
2
By gradually learning to stutter on purpose and without pain (the stutterer)
will lose a lot of the negative emotions that color his disorder; when this occurs,
he’ll find great relief. (Van Riper)
3
Consider humor as you look at your mistakes in speaking. Many things
about stuttering can be funny. (Neely)
4
One way to make your listener feel at ease about your stuttering is to tell
an occasional joke about it. (Trotter)
5
Make fun of your stuttering and yourself. The best of all humor is selfdirected. (Emerick)
1
74
Your willingness to stutter, particularly in a modified way, is a very
powerful aspect of therapy that can help lead to a most lasting and
satisfying change in fluency.1
The stutterer must be willing to be purposely abnormal. (Hulit)
1
75
Avoidance is the heart and core of stuttering. Avoidance
behavior—holding back—is essential for the maintenance of
stuttering behavior. Stuttering simply cannot survive a total
weakening of avoidance, coupled with a concerted strengthening
of approach tendencies. If there is no holding back there is no
stuttering. (Sheehan)
76
Rule (4)
(page 45)
Eliminating Secondary Symptoms
This fourth guideline suggests that you eliminate—that
is stop doing—any secondary behaviors or unnecessary
mannerisms which you may exhibit when stuttering or trying to avoid difficulty.1 Possibly you have no such irregular
behaviors, although most stutterers do.
This rule does not apply to the abnormal activity of your
speech muscles or mechanism which is covered under rule
(7). It refers to other noticeable, unnecessary or accessory
body movements which may characterize the particular
pattern of your stuttering.
They are what speech pathologists call secondary symptoms, and they refer to actions which are not necessary for
the production of speech: physical mannerisms such as eye
blinking, fixations, nostril or facial grimaces, mouth protrusions or postures, covering your mouth with your hand,
head movements or scratching, jaw jerks, ear pulling, finger
snapping or tapping, coin jingling, knee slapping, foot
tapping or shuffling, hand movements, or what have you.2
Such irregular movements may have started because at
one time they seemed to help you get through a block or
enabled you to avoid trouble. But now they may have
1
I feel that the stutterer’s first task in speech correction is to learn to stop
the physical struggle with which he has formerly met his speech blocks.
(Bluemel)
2
John’s habitual pattern consisted of a violent tilting back of his head;
rolling his eyes toward the ceiling; the muscles of his neck would stand out;
he would become flushed; he would twist his face in a forced grimace; attempt
various starters; some head jerks in an effort to release himself from the blocks
and would also accompany his stuttering with various body gestures. (Sheehan)
77
become part of the stuttering itself. You will be happier
when you eliminate any such unnecessary and unattractive
actions.1
Of course you may not be guilty of doing such things, but
you need to get rid of any such habits you do have. It is
essential to learn to modify and control them. But before
you can tackle them, of course, you need to find out what
you do.2
This involves observing yourself when you stutter
or when you are trying not to. These habits are usually
automatic and involuntary, and you may not even realize
when such symptoms are occurring.
It’s not easy to scrutinize yourself and become fully
aware of habits which you have been using to avoid
difficulty and which you may have accumulated over
the years. You cannot see yourself stuttering, but you should
be able to feel what you do. Or you can ask a member of your
family or a close friend to watch when you stutter and make
notes after you have described what to look for.
You could start by picking out in advance some specific
speaking situations which will occur today or tomorrow.
Resolve to study yourself as carefully as possible on these
occasions. Watch out for any unnecessary movements you
make when stuttering or when expecting to. Disregard any
normal gestures but make sure they are normal and not
used to beat time with the speech attempt or to jerk out of
your stutter.
1
The job is to think and work in a positive manner. The job involves coming
to realize that these head jerks, eye blinks, tongue clicks…are not helping to get
those words out. They are preventing the words from being said strongly,
aggressively and fluently. (Rainey)
2
Make an inventory of speech related struggle that accompanies your stuttering. (Moses)
78
Here’s where a mirror, particularly a full-length mirror,
will come in handy to help you observe yourself. If you have
difficulty talking on the phone, make some phone calls while
watching yourself in the mirror.1 Note any or all irregular
movements (or postures) associated with your stuttering.
Don’t skip any of them. To double check make phone calls
which will be particularly embarrassing and will put pressure on you. After each situation, make a list of symptoms
in your workbook.2
You should have little trouble identifying and listing a
conspicuous secondary symptom, but it may be a little more
difficult to spot others. Stutterers can be unaware of behaviors which may be obvious to others. You may be surprised
to find that you are doing something you would not do if you
didn’t stutter or expect to. So while you are working on this
rule, make a point of observing yourself as carefully as possible.
Of course, if possible, it is even more advantageous in
studying your secondary symptoms to have videotapes
made of the way you talk. This enables you to both see and
hear yourself at the same time.
(This guideline does not suggest that a stutterer should stop
using any normal gestures which he has been in the habit of using
to add expression or emphasis to his conversation. In fact, normal
gesturing is encouraged as long as it is not timed to a beat or timing of one’s speech.)
Getting rid of any secondary symptoms you may have
should be a definite goal. In doing so, you will be getting rid
of crutches which may have originally helped you get the
word out but which can give no permanent relief.
1
For example, you can look at yourself in the mirror and assess what you
are doing while you make a phone call likely to elicit stuttering. (Murray)
2
Begin by listing the struggle behaviors that you use which are not part of
the act of speaking. You will seek to eliminate these behaviors by increasing
your awareness of them and separating them from your attempts to talk.
(Moses)
79
How to Work on Secondary Symptoms
How do you go about eliminating such behavior? It may
not be easy. Sometimes such a habit can be so compulsive
that it’s almost impossible to stop.1 But you can stop it if you
make up your mind to do so. You can’t stop stuttering by will
power, but if you are determined, you can get rid of secondary symptoms by disciplining yourself to do so. But one
needs to go about it in a systematic manner.
Unfortunately, there are no universal secondary symptoms which are common to all stutterers. You might blink
your eyes, swing your
arms, protrude your
Crutches…can give no permament
lips, jingle your coins,
blow your nose, or make
relief.
some kind of timing
movement, etc. It could
be anything. Also the problems of others may be different
from yours, but that is not important since they will just be
used as examples and the principles of correction outlined
should apply to all such stuttering habits or tricks.
Anyway, let’s start by selecting some movement you
make which you would like to correct. Even if there is more
than one, it is better to work on only one at a time.
One way to start bringing it under control is to consciously make such movements purposely while not talking. For instance, if you have the habit of swinging your arm
in trying to talk, then it is suggested that you practice
swinging your arm intentionally while alone and not talk-
1
Get rid of these artificial devices! This may seem impossible at first, but
depend on your own natural resources and you will find that in the final analysis you will be greatly rewarded. (Barbara)
80
ing. And then start talking to yourself and swinging your
arm but varying its speed and action so you can feel yourself consciously doing it in a different way.1
Or, for instance, if you have the habit of blinking your
eyes, do it purposely in your accustomed manner when
alone and not talking. And then, when talking to yourself,
consciously and purposely vary the timing or speed of the
blink. This approach to such problems calls for you to do
these things purposely in a concentrated manner. Bringing
such a habit under conscious control will make it easier to
manage or restrain.
Practice taking control of these habits in anxiety-producing situations until you know you are the master and
can skip it altogether. The basic idea is to make the behavior
voluntary while it is occurring—then to vary it voluntarily—
then to curtail its duration—then to stutter on the word
without it. You can stop these mannerisms if you are determined to do so.
As an example, you might be interested in how one stutterer eliminated a rather grotesque secondary symptom of
head jerking. This is how he did it.
“I’d always hated my head jerking. Looked awful,
I know, and it bothered other people but I’d never been able
to control it until now. It just seemed to take off when
I blocked hard. I suffered from it for many years but it’s gone
now. I’ve learned how to keep it out and now my fear of
stuttering has gone way down and I’m not stuttering much.
“Here’s how I did it. It was suggested that I watch myself
in the mirror when making phone calls. At first I could not
bear to look at my jerking in the mirror but kept at it and
Set up a program of change. Take all the different elements that make up
your stuttering pattern, e.g. head jerks, eye blinks, etc. Then consciously and
deliberately attempt to add (exaggerate), vary (instead of jerking your head to
the right, jerk it to the left) and drop out the separate parts one at a time. Break
up the stereotyped nature of how you go about doing your stuttering. (Emerick)
1
81
finally got curious about it. So I studied it. I found that
I jerked it suddenly and always to the right side. It occurred
only after I tensed my jaw and neck greatly and only after
a series of fast repetitions. Why did I always have to let it
jerk to the right? What happened just before the jerk?
I noticed that I also squinted one eye (the right one) just
before it happened. I found that on my easier blockings my
eye didn’t squint.
“Well, then I began to change these things. I made more
phone calls and tried to jerk my head in the same way but
on words I wasn’t afraid of, and more slowly and on purpose.
Then when the real head-jerking occurred, I tried jerking it
to the left or moving my head and jaw slowly rather than
swiftly. I found I could change and control it and when I did,
I didn’t feel helpless. I got so I could change the involuntary
jerk into a voluntary one.
“Then I was no longer a slave to the habit but the
master. Also by slowing down the repetitions that preceded
it, I discovered that I could prevent it from happening.
There was one other thing that I did too that helped greatly. I experimented with relaxing my jaw and neck when
beginning to stutter. Couldn’t always do it, but when I did
I found I could keep my head steady and in control. What a
relief! I’ve got a long way to go but at least when I stutter
I’m no longer that abnormal monster I once was.”
Another stutterer had a habit of tapping his foot when
he stuttered, sort of beating time to the word or syllable.1 To
find out how bad it was and exactly what he was doing, he
picked out some speaking situations and counted the number
1
To me syllable-tapping was an old story that had no happy ending. I had
tried it in junior high and high school, using an ordinary lead pencil. Vividly I
recall my embarrassment when I pressed too hard and the pencil lead flew high
in the air, to everyone’s amusement but mine. After that I tapped for awhile on
the eraser end, then gave it up completely, so I thought. But finger-tapping
remained a part of my instrumental stuttering pattern for many ensuing years.
(Sheehan)
82
of times he tapped his foot when stuttering. It was most difficult for him to do this, but he finally was able to get a count
and discovered that they usually came on certain words or
sounds when he was under stress.
Then he experimented with over-tapping more than he
ordinarily would. He also practiced tapping purposely when
he did not stutter, although he had to be particularly careful to be sure it was done voluntarily. The idea, of course,
was to bring his compulsive tapping under conscious control.
Then he worked on varying the way he tapped when he was
stuttering by doing it differently than he ordinarily would.
He would plan ahead of time how he would vary it so that
he could have the feeling of its being under his control.
Do you get the idea? In order to work on eliminating a
secondary symptom it is important to investigate it down to
the smallest detail. You need to understand what you are
doing before you can expect to win the battle against any
such habit.1 As you gain this knowledge, then start to vary
your behavior. It is always helpful to purposely act out your
symptom (whatever it may be) when you are not stuttering.
The key to eliminating it is to get it under conscious
control from an involuntary movement to a voluntary movement. If you forget and find that you are not in control, then
start over again. As you talk, voluntarily vary the way you
do it on purpose. Practice taking over control in anxiety
producing situations until you know you are the master and
can skip it altogether.
The basic idea is to make the behavior voluntary while
it is occurring—then to vary it voluntarily—then to shorten
its duration—then to stutter on the word without it. You can
stop these mannerisms if you are determined to do so.
1
The mannerism should be closely observed in the mirror, studied,
analyzed, imitated, practiced and deliberately modified. (Johnson)
83
Pay enough attention to the things you do that interfere with
your normal speech, the things that you do that you call your
stuttering, to understand that they are unnecessary and to
change or eliminate them. (Johnson)
84
Rule (5)
(page 46)
Eliminating Avoidances,
Postponements and Substitutions
This particularly important guideline calls for you to
make a real effort to eliminate—that means stop—any and
all avoidance, substitution or postponement habits which
you may have acquired to put off, hide or minimize your
stuttering. It is very important for you to develop speech
that is avoidance-free.
This may present more of a problem than you think
since much of a stutterer’s abnormal behavior may be
traced to his efforts to postpone or avoid what he considers
threatening situations.1,2 Many stutterers feel they must be
ready for every eventuality so they can avoid the danger of
getting stuck.3
While temporarily affording relief, avoidances will actually increase your fears and cause you more trouble in the
long run.4 They keep it aroused until time runs out or their
effectiveness wears out. Stuttering will be perpetuated by
successful avoidances.
1
Your pattern of stuttering behavior consists chiefly of the things you are
doing to avoid stuttering. (J. D. Williams)
2
What you call your stuttering consists mostly of the tricks, the crutches
you use to cover up. (Sheehan)
3
The stutterer believes that the most important communication in speech is
to avoid stuttering at all costs. (Trotter)
4
What happens is this: The successful avoidance causes some anxiety
reduction. Then, when a similar situation presents itself, the need to avoid is
even stronger due to the preceding reinforcement. But now, no avoidance is
possible. The conflict becomes even greater. And so several vicious circles (or
rather spirals) are set into motion. (Van Riper)
85
Eliminating Avoidances
Why shouldn’t you avoid saying your name, or avoid
answering the phone when you feel that you might stutter
doing so? Or why isn’t it all right to at least temporarily
postpone doing something? Or why shouldn’t you substitute
a more easily said word for one on which you might stutter?
Why not?
There is one good reason for not doing these things—
and it is a powerful one. The more you make a practice of
avoiding, postponing or substituting, the more you
will keep on using such crutches to avoid trouble; and they
will just reinforce your fear of stuttering. Why keep building
up fear? If there is one thing the stutterer needs more than
anything else, it is to reduce his fears and certainly not to
reinforce them. Avoidance only makes the fear of stuttering
worse.1,2
There are many different avoidance tactics to which
stutterers sometimes
resort in their attempts
to minimize or escape
Avoidances reinforce your fear of
trouble such as dodgstuttering.
ing speaking situations, avoiding social
contacts or talking on the phone, using secondary symptoms
or exaggerated gestures, talking more rapidly, repeating
words or going back to get a running start, talking in a
monotone or sing-song voice, varying the pitch or intensity
of the voice, affecting unnaturally aggressive behavior,
acting like a clown, writing down what needs to be said,
playing dumb or hard-of-hearing, etc.
1
Avoidance only increases fear and stuttering and must be reduced.
(Czuchna)
2
And what actually happens is that the more you cover-up and try to avoid
stuttering the more you will stutter. (Barbara)
86
Working on Avoidances
Postponements include various stalling devices such as
clearing the throat, swallowing, coughing, blowing the nose,
putting in unnecessary words such as ‘you know’ or ‘I mean,’
or ‘that is,’ or making excessive use of interjections like ‘uh,’
‘er,’ ‘well,’ waiting for someone to supply the word, etc.
Substitutions involve using synonyms, easy words or other
phrases for those on which you think you might block.1 Or
you may sneak up on a feared word from a different direction or adopt other strategies. Postponements and substitutions are variations of avoidance practices.
As has been pointed out, stuttering is what the
stutterer does in trying not to stutter. So, if you could willingly and wholeheartedly adopt an attitude of not trying to
cover up or avoid, it would make a world of difference in the
amount of trouble you have.2,3
This step will require concentrated effort and may not be
easy. It is suggested that you read, study and put to work
assignments such as those listed in this next section.
How to Work on Avoidances
Conforming to this rule and eliminating all your avoidance practices may be a tough assignment, but many
authorities feel that a non-avoidance attitude will give you
more relief than any other therapy procedure. So let’s make
1
In shunning difficult words the stammerer has recourse to synonyms,
circumlocutions and evasions. With the adult stutterer the use of synonyms
becomes a standard method of escaping the speech impediment. One stammerer
says facetiously that he has learned the whole dictionary in order to have
synonyms available. (Bluemel)
2
Working on my own I set about to eliminate every last vestige of avoidance
of words and situations. (Sheehan)
3
Be determined to reduce your use of avoidances. (Moses)
87
an all-out effort to stop any and all avoidance habits or
tricks you may have acquired to put off, hide or minimize
your stuttering.1,2
Your first step should be to work on finding out to what
extent, when and how you may be using avoidances, so you
will know what needs to be changed. Plan to start in the
morning to observe yourself carefully as you go through the
day in order to discover and identify what avoidance tricks
you may be using.
Study your thought and action during the day, and make
notes in your workbook of what you did and why you did it.
Take note of what actions or lack of action were influenced
by your concern about avoiding trouble. Compile this information for several days. You will be surprised at the number
of times you avoid, postpone or substitute.
After compiling this information, you should start to
work on trying to correct all such practices. It may be too
difficult to attempt to work on all of them at the same time,
so a gradual approach may be better although that’s a matter for your own judgment.
Anyway, pick out one avoidance habit which you know is
undesirable and decide to go to work on it. Make a real
effort to counteract that particular habit only. Go about it in
as systematic a way as possible. You will need to watch
yourself for some time to make sure that it gets adequate
1
The habitual avoidance of speaking situations and feared words will get
you nowhere in the long run. (Murray)
2
Like many of you, one of the most common and debilitating characteristics
of my problem was the habit of avoiding…. There was almost no limit to what
I would do to avoid situations in which I feared my stuttering would embarrass
me. Going to a party would be an extremely tiring event because the entire
evening would be spent trying to stay alert for words on which I might stutter
and finding ways to avoid them. (Luper)
88
attention so that you won’t use it any more. Make notes of
your accomplishments as well as your failures.1 Such
changes don’t just happen, so don’t let yourself become
discouraged by the difficulties encountered. Persevere at the task.
For instance, resolve that you will not substitute words.2,3
To do this, you will have to watch yourself carefully because
you may be doing it frequently. One way to approach a substitution problem is to deliberately use words on which you
would expect to stutter. Say what you have to say, and if you
stutter, still persevere. Write out the exact words you are
about to say. And say them without substitution or revision.
Or for instance, there is no advantage in pretending not
to hear when someone speaks to you—nor should you stand
mute pretending to think of an answer—nor say that you do
not know when you do know.4 Nor should you dodge speaking situations—or avoid social responsibilities—or give up
speech attempts or leave the scene of approaching trouble.5
1
Make a list of all your avoidances. What types do you use (starters, delaying tactics, etc.)? When, and in what context do you use them? How frequently
do you resort to evasion? In other words, prepare an avoidance inventory. Then,
systematically vary and exaggerate each one; use the avoidances when you don’t
need to in a highly voluntary manner. Finally, when you find yourself using an
avoidance involuntarily, invoke a self-penalty; for example, if you avoid the word
“chocolate,” you must then use that word several times immediately thereafter.
One of the best penalties is to explain to the listener the avoidance you have just
used and why you should resist such evasions. (Emerick)
2
The author knows from his own past experience as a severe stutterer and
from his dealings with many other stutterers, that it is better to have a fiveminute blocking than to avoid a word successfully. We never conquer fear by
running away; we only increase it. (Van Riper)
3
The thing that discouraged me most was the realization that I could no
longer detour around a difficult bugaboo word with the substitution of a clever
synonym. (Wedberg)
4
You sometimes create the impression of aloofness, unfriendliness, or stupidity when you are in reality friendly and well-informed. (Johnson)
5
At times you may totally avoid stuttering by choosing to be absent, by withdrawing from a speaking situation, or while speaking you may substitute a
non-feared word (one on which you do not expect to stutter) for a feared one.
This allows you to escape for the moment, but increases the worry about future
situations. (J. D. Williams)
89
One approach would be for you to make a point of
talking more in feared situations. Possibly search out one
feared situation every day and go into it, being sure to
watch out that you do not back down and dodge the
situation after you have determined to follow through. Then
write out a description of the experience.
This does not mean that you need to volunteer to make
speeches before an audience, but you will feel better about
yourself when you deliberately enter more speaking situations.1 For example, ask the bus driver how much the fare is
even if you know. Or say “good morning” to a store clerk
when you previously said nothing.
As you progress, you will be encouraged to participate in
situations that offer a challenge. You need to talk as much
as possible.2,3Sooner or later you will have to stop running
away. Now is a good time to stand and fight.
Actually, you will feel a sense of achievement by
voluntarily seeking out feared words and entering difficult
situations. The less you avoid, the more confidence you will
have in yourself as a respectable and worthy person. In the
give and take of normal life, you should not back down but
speak up.4,5
Enter more speaking situations. (D. Williams)
One way of reducing your fear is by increasing the amount of speaking you
do, particularly in situations that you customarily avoid. (Trotter)
3
Search for those words and situations that are beginning to bug you rather
than hiding them until they build up giant fears. (Luper)
4
The habitual avoidance of speaking situations and feared words will get
you nowhere in the long run. (Murray)
5
Don’t let yourself avoid speaking because you might stutter. (Guitar)
1
2
90
Using the Telephone
Did the phone just ring? Don’t push others away so you
can answer it, but if you would normally be the logical person
to take the call, do so. This may be tackling your biggest
fear.1 Perhaps you say to yourself that it’s too much, and you
just can’t do it. Even if you are not trying to overcome your
stuttering, you can not expect to go through life always
avoiding the telephone. Sooner or later, you’ll have to pick
up that receiver and talk. The longer you put it off, the harder it will be.2
On the other hand, perhaps it doesn’t bother you to talk
on the phone, but you have other problems. Let’s assume
that you did answer that call just now and you talked to the
person at the other end of the line. During the conversation,
did you come to a word on which you expected to stutter and
then did you think of another way of saying it to avoid trouble on that word? Possibly you did. If so, you added another
brick to the wall of your fear.
Incidentally, when you saw so-and-so the other day and
you were afraid you might stutter talking to him, what did
you do? How did you get around speaking to him? Did you
cross to the other side of the room or did you hide from
him—or did you just clam up? Unfortunately, we do not
know what sort of contacts or meetings you avoid.
As we said before, when you run into normal situations
when you would like to talk, make a point of taking advantage of them and speak up.3,4 Your opinions need to be heard
1
I remember well how often I “played-deaf” when the telephone would ring.
Sometimes, unfortunately, I might be standing not more than a few feet from
the ringing telephone and my protestations regarding “answer the telephone”
would be of no avail. (Adler)
2
Guidelines for using the telephone on page 147.
3
One of the things we were forced to do to reduce our avoidances was to
make ourselves talk more, especially in feared situations. (Murray)
4
One way of reducing your fear is by increasing the amount of speaking you
do, particularly in situations that you customarily avoid. (Trotter)
91
as well as those of the next person. Use whatever words
come to you. Plan to express your thoughts without making
substitutions or revisions to avoid stuttering.1 If you have
the determination to tackle your problems in this way, you
will build confidence in yourself.
As you have had the habit of planning how to avoid trouble,
now spend time planning how not to avoid trouble. At times
you may fail to follow through but if you do, you should
make up for such failures by entering other or similar situations in which you are afraid you might stutter.2 No one
wins all the time but one can always recoup. In any case, be
honest with yourself regarding any such assignments.3 If
you alibi, you are kidding no one but yourself.
Here’s an account of what one stutterer did in trying to
reduce the avoidances that constantly reinforced his fears,
as he tells it.
“For years I’ve been using every imaginable trick I could
think of to keep from stuttering or to hide it when it came.
Most of the time I can get away with it, but even so I live with
the fear that sooner or later I will be unmasked and I usually
am. But the worst of it is the constant vigilance I’ve got to
keep, the constant sizing up of situations and sentences for
signs of approaching trouble. I get so tired of always having
to get ready to duck and dodge and cover up this constant
fear.
Search for those words and situations that are beginning to bug you rather
than hiding them until they build up giant fears. (Luper)
2
Deliberately enter previously feared situations. (Moses)
3
We never conquer fear by running away from it; we only increase it.
(Van Riper)
1
92
“Anyway today, thoroughly fed up, I decided to attack the
situation head-on. I began by going to a cafe for breakfast
rather than the cafeteria where I’ve always gone so I wouldn’t
have to talk. I walked past the cafe three times before getting
up enough courage to walk in, but I finally did.
“I found myself rehearsing my order, changing my selections so I might not stutter, but I was so disgusted with my
weakness that when the waitress came I just blurted out
‘b-b-b-bacon and eggs!’ and stuttered on purpose on bacon.
I looked at her and she didn’t bat an eye. Just asked me if
I wanted coffee and I said again ‘b-b-b-bacon and eggs and
coffee.’ I can’t tell you how good I felt. For once I hadn’t been
a coward. If they don’t like it, they can lump it! I felt strong,
not weak and I sure enjoyed the bacon and eggs.
“After breakfast I was feeling so good about myself that
I decided to tackle the phone which has always been my most
feared situation. I wanted to find out when the buses left for
Trenton, and ordinarily I might have gone to the bus station
rather than phone. That phone fear is terrible, and I hung up
twice when they answered before saying a word. I was in
such a panic I hardly knew what I wanted to say even if
I could have started.
“So I sat down and wrote out the words ‘When do
the buses leave for Trenton this afternoon?,’ put the mirror by
the phone so I could see myself, dialed the number and then
said it word by word. I stuttered though not as much as I’d
expected, and I had to say it twice because the clerk didn’t
understand the first time but I got the information I needed.
Felt all drained out afterwards but also triumphant. I’ll lick
this thing yet.”
So can you.1
1
Keep in mind that…the less you avoid words and situations, the less you
will stutter in the long run. (J. D. Williams)
93
Keep in mind that…the less you
avoid words and
situations, the less
you will stutter in the
long run.
(J. D. Williams)
94
Rule (6)
(page 48)
Maintaining Eye Contact
If you are like many stutterers, you probably do not look
people squarely in the eye when you talk to them. Chances
are that if you observe yourself carefully, you will find that
you usually avert your eyes, particularly when you are
stuttering or anticipating a block. And by doing so, you tend
to increase any feelings of shame or embarrassment you
may have about your difficulty.
Maintaining eye contact will not of itself stop your stuttering, but it will help reduce feelings of shyness and tend
to build self-confidence. It is this sensitivity which generates
much of the tension which causes or aggravates your trouble.
So this guideline calls for you to establish the habit of eye
contact with your listener.1,2
This doesn’t mean that you need to stare fixedly at the
person to whom you are talking, but still you should look the
other person squarely in the eye more or less continuously.
Establish eye contact before you begin to speak and continue to do so in a natural way. Particularly, do your best not
to look away when you stutter or expect to.
It is possible that you already practice good eye contact,
but more probably you are embarrassed and do not.
Remember, it is difficult to observe yourself so do your best
to be honest with yourself. You might ask someone with
whom you converse, such as a member of your family, to
watch and find out if you shift your eyes just before or when
you stutter.
You must acquire the ability to keep good eye contact with your listener
throughout your moment of stuttering. (Van Riper)
2
Develop eye control with your audience and create a friendly atmosphere.
(Barbara)
1
95
Perhaps you look away because you are afraid that your
listener will react with pity, rejection or impatience. This is
not apt to be true. Using eye contact will enable you to test
the validity of your fears, and it should put your listener
more at ease. Moreover, by maintaining eye contact you can
demonstrate that you are accepting—not rejecting—your
stuttering as a problem to be solved.1 When you look away,
you are denying the
problem.
Look the world squarely in the eye.
Anyway, do your
best to maintain good
eye contact as a habit.
You will feel better for doing so, as it will help you combat
feelings of inferiority and self-consciousness. Therapists recommend its use in trying to help people who are shy and
bashful. Interpersonal communication is always facilitated
by eye contact, even if you don’t stutter.2 Good speakers use
it naturally.
It is unnecessary to turn or hang your head in shame
which may be what you are doing unconsciously when you
avert your eyes. We hope you can develop a feeling of selfconfidence that you are as good as the next person. Do your
best to look the world squarely in the eye.
How to Go About Maintaining Eye Contact
Following through on this rule may represent more of a
problem than you think. Many stutterers have become so
shy that it is difficult for them to look anybody straight in
the eye when they are stuttering. It is suggested that you
The value of eye contact is the effect it has on the stutterer. It almost forces
him to keep the stuttering going forward through the word. It’s an assertive
behavior and a positive act. It’s hard to withdraw and back off if you are holding eye contact. (Starbuck)
2
Try to maintain eye contact with your listeners. Looking away severs the
communication link with your audience and convinces them that you are
ashamed and disgusted with the way you talk. (Moses)
1
96
double-check yourself carefully as you try the following
procedures.
Start by looking at yourself in the mirror when alone
and faking an easy block. Do you keep eye contact with
yourself or do you avert your eyes? Try this repeatedly, making sure that you don’t look away. Then do it when making
a severe block. If you find you do not keep eye contact before
and during the block, work at it until you find that you can
and continue doiong it.
Then make some phone calls looking at yourself in the
mirror while you are having real blocks. Watch yourself
until you can talk without shifting your eyes during five or
more real stutterings.1 To complete this program successfully, this is a necessary step.
As you become more sure of yourself, it will be easier
for you to maintain eye contact while talking in general
conversation.2 This does not mean that you have to stare
fixedly or glare at your listeners, but look at them in a
normal, natural way, and though they look away, continue
to keep contact.
While talking to others, collect one, two, and then three
occasions in which you maintain good eye contact as you are
stuttering. Then make it ten occasions.
To prove that you have followed through, it is suggested
you write down the names and eye colors of ten people with
whom you have stuttered, or write down ten or more words
on which you stuttered without losing normal, natural eye
contact.
1
Read a sentence, look up into the mirror, paraphrase the sentence while
maintaining eye contact. (Adler)
2
Be sure you don’t look down or away at the moment of stuttering. Some
people will look away no matter how much you try to keep contact. To succeed
it is sufficient that you look at them. (Sheehan)
97
Use your ingenuity in devising other pertinent assignments. Build confidence in your ability to speak with good
natural eye contact on all occasions from now on, and you
will feel better for doing so. It will give you satisfaction to
know that you can comply with this rule and will make you
a more effective conversationalist.
98
Rule (7)
(page 49)
Finding Out What You Do
When You Stutter
An important part of this therapy program involves
your finding out exactly what you are doing with your
speech mechanism when you are having difficulty.1 So you
are asked to identify and feel the articulatory movements
and the contacts which you do incorrectly when you are
stuttering.2
The more you study how you block on certain sounds
or words, the more you will realize that you can find
ways to move through them without struggling. In other
words, the more you carefully analyze your faulty speech
habits, the more you should be able to take advantage of
controls which will modify or eliminate your unnatural or
unnecessary actions.3,4
Maybe you hate to even think about examining the way
you stutter, but this information is important. Probably
you have only a vague idea of how you stutter and can not
duplicate your abnormalities.5 Possibly all you know is that
sometimes you speak freely, and at other times you get
miserably stuck.
1
Perhaps the first concrete step you should take is to acquaint yourself with
your stuttering behavior. (Murray)
2
How you stutter is terribly important. (Sheehan)
3
The better your understanding of your speech problem and of what you
yourself are doing that complicates the problem, the more you can do to help
yourself feel capable of dealing with it successfully. (Johnson)
4
It is important that you learn as much as possible about how you stutter
and what you do when you stutter so that you can modify the symptoms.
(Boland)
5
Early in my therapy program, I made a startling discovery. Although I had
stuttered for years, I really did not know much about what I did with my speech
apparatus as I stuttered. (Luper)
99
Finding Out What You Do When You Stutter
In any case, we want you to get the feel of the actions
of the muscles controlling your breath, mouth, lips and
tongue so you can learn how to duplicate your stuttering
and make a comparison with their action when you speak
without trouble.1
Assignments will include studying speech muscle
articulation and actions used in the formation of speech
sounds and words when stuttering, as compared with
their specific activity when you speak without difficulty.
To find this out, you will be asked to stutter on
purpose, imitating your usual pattern and observing
yourself in the mirror while doing it. And if, by any chance
you have been able to have recordings or videotapes made
of your stuttering, they will be of real help. To be able to both
hear and see yourself stuttering will make it easier for you
to study how to change or correct what you have been
doing wrong.
Such assignments may seem strange and unpleasant,
but progress is possible if you face up to and confront your
problem, no matter how distressing it may be.2,3 Others see
and hear you stutter and if they can bear with it, so can you.
It’s not as bad as you imagine it.
1
It is helpful for the stutterer to learn to analyze and identify the specific
movements or lack of movements involved in his stuttering behavior. He will learn
this by attending carefully to his behavior, e.g. what he is doing with his tongue,
jaw and lips as he is stuttering. Then he can have a basis for comparison between
what he needs to do to talk and what he is doing to interfere with that process.
Most importantly, he can learn that he is doing things to interfere with talking,
and hence he can learn to change them. (D. Williams)
2
Another most important goal in your search for an ultimate cure is to
acquaint yourself with your stuttering behavior. (Barbara)
3
It is difficult to achieve a lasting change in stuttering if stutterers cannot
quickly and correctly identify when they are stuttering. Unless they can do this,
we think it is difficult to lastingly change stuttering. (Conture)
100
Analyzing the Pattern of Your Blocks
You are urged to conduct a self-examination and investigate your blocks so you can develop a feeling or sense of
awareness of the movement and positions of your speech
mechanism when you are stuttering.1,2,3,4 This applies
particularly to the things that you do which are unnatural
and unnecessary.
How do you conduct this self-examination? One way to
get a feeling of what is happening is to stutter extremely
slowly when you block. This does not refer to talking
slowly—but stuttering slowly.
When you anticipate trouble, go ahead and stutter, but
do it in such slow motion that you have time to get the
feel of exactly what you are doing wrong with your
speech muscles.
Keep doing this, trying to sense what happens when you
block and when making the transition to the next sound
until you become aware of what is happening on those
sounds which give you trouble. Make note, and record those
things which you find are different and unnecessary.5
1
Look and listen closely and discover just what it is that you are doing when
you stutter. (Rainey)
2
you’re making. What are you doing wrong that makes your speech come out as
stuttering? (Starbuck)
3
Perhaps the first concrete step you should take is to acquaint yourself with
your stuttering behavior…. In order to carry this out effectively, you must first
learn to keep in touch with yourself during your moments of stuttering….
Feedback of various types will assist you in this self-study endeavor. (Murray)
4
When a moment of stuttering occurs it can be studied and its evil effects
erased as much as possible. (Conture)
5
As honestly as you can, try to observe yourself and write down your
observations. (J. D. Williams)
101
Another way to get this information is to repeat your
blocks when you have trouble. Be courageous and stutter on
them over again. But the second time go through the block
in such slow motion that you can get the feel of how your
speech muscles are acting up.
Using a Mirror to Check Your Stutter
If you have trouble talking on the telephone, the
use of a mirror offers you an excellent opportunity of observing what you are doing wrong when you stutter.1,2 Place the
mirror near the phone, located so that you can watch your
face closely.
Then, of course, make some phone calls. If you have no
one to contact, you can always call stores or offices asking
for information while you monitor your stuttering. Then as
you talk, watch the movements of your mouth, etc., and
identify specifically the irregular or unnatural movements
you make with your speech muscles.
Here again, if you can make a point of stuttering slowly,
it will give you a better chance to see what is taking place.
Also, if you can, freeze your action as you block, as it would
help to make any unnatural positions more obvious.3
You need this information so that you can imitate any
unusual movements.
1
For example you can look at yourself in a mirror and assess what you are
doing while you make a phone call likely to elicit stuttering. (Murray)
2
Watching yourself stutter in a mirror makes you more objective and less
emotional about your stuttering. (Trotter)
3
A simple way to apply this principle in the treatment of stuttering is to
have the stutterer maintain or prolong or continue any given position of the
speech mechanism that may occur at any stage of what he terms stuttering.
(Johnson)
102
When off the phone, pick out a word that gives you
trouble.1 For example, it might be your name. Anyway,
such a word will have a sound in it on which you
frequently block.
As you observe yourself in the mirror, stutter
purposely on the word, imitating the way you get stuck,
making the block as realistic as possible.2 Then repeat the
block, stuttering on the sound or syllable only, but this time
in extremely slow motion. It may be difficult to slow the
stuttering down but keep working at it until you can do
it slowly.
Now in order to make the comparison, utter the same
sound again but correctly, trying to feel what happens when
you produce the sound without stuttering as you look in the
mirror. Say the syllable in slow motion many times until
you become aware of the difference between the feel of your
speech muscle activity when you block on it and when you
say it fluently.3 Make notes of the things you do that are
different, not normal, or unnecessary when you stutter.
This may appear complex, but it should not be too
difficult since you will probably find out that the way
you stutter doesn’t vary very much. You may find that
your pattern of stuttering is more or less uniform and
consistent, as most stutterers tend to repeat the same
abnormal postures or speech muscle movements each time
they stutter.
1
Choose some words that begin with sounds that you think of as being
hard—those on which you often stutter. (Aten)
2
It turns out that a practical way for the stutterer to observe his own
stuttering behavior is simply to duplicate it on purpose, imitate it, perform it,
while watching himself in the mirror. (Johnson)
3
To study your speech, analyze how you say words both fluently and in a
stuttered form. (Neely)
103
Using a Tape Recorder to Help Check
A tape recorder can be of service in studying the way you
stutter so that you can imitate it.1 The recorder can be a
small one, and inconspicuous, and its use need not be
embarrassing—but even if it is evident, people are
generally interested in observing how it works.2
Possibly you have already made recordings of conversations when talking with friends and members of your
family. It is also desirable for you to take the recorder out
and carry it around to make other recordings. If you do not
want to talk with people you know, then make occasions to
start conversations with strangers, even if only to ask the
time of day or directions while you make recordings.3
As previously suggested, if you have trouble talking on
the phone, you should make recordings of phone conversations in front of the mirror, sometimes freezing your
articulations or continuing your repetitions, etc.4 Then, of
course, after you have recorded conversations, play the
tapes back and listen to them.5 Run the tapes slowly in
those spots where you had trouble so you can have a better
understanding of what happened.
Listen to recordings of your speech. (Agnello)
I would recommend the almost constant use of a tape recorder. There’s
nothing like being able to hear your own speech in order to judge what you do
and don’t like about it, and to decide what changes to make as you practice. Try
to record your speech in different situations. (J. D. Williams)
3
Another classic situation most stutterers fear is asking questions of
strangers…. What I did, and have my patients do, is to stop people who are
walking somewhere, or are in stores, and ask them questions concerning the
time, directions, the price of some object, etc. (Adler)
4
Listen to your own recording of this on tape and watch your performance
of it in the mirror…. By listening to yourself stutter you accustom yourself to the
sound of your stuttering. When you are in a real speaking situation and you
hear yourself stutter, you’re not as likely to panic. (Trotter)
5
It is possible to record your speech in a communicative stressful situation,
then play the tape back for the purpose of careful analysis. Painful as this may
seem, it is a good way to bring yourself to grips with your problem. (Murray)
1
2
104
As you repeatedly do this, mimic (silently) or pantomime
the actions of your speech muscles along with the recording.
You need to see and hear and be able to duplicate what you
are doing when you stutter. Work at this as best you can
even if you have no recorder so you can have a much better
understanding of the situation.1
Of course, it is even more advantageous if you can
arrange to have videotapes made of your actions when
you are stuttering. Viewing such tapes enables you to
both see and hear what you are doing wrong which
needs to be corrected. It puts you in the best position to
study your difficulty. Obtaining such videotaping is
recommended.
When you have discovered what you are letting your
speech muscles do abnormally when you stutter, you can
compare their activity with what they do when you speak
fluently.2 Completing this step may take a substantial
amount of time, but keep at it until you feel you understand
what you do incorrectly when you stutter.
Working to acquire the desired information of this step
takes careful analysis, but the more insight you have about
your difficulty, the easier it will be to solve it.3 To give you
more explicit examples of how you can check your speech
muscle activities, read the next section describing how to
analyze in detail what a stutterer does with his speech
mechanism when he has difficulty. This section gives
specific directions on how to study the errors you make. This
information will show you how to make block corrections as
described in the following chapters.
In short, you need to develop a sharp sense of contrast between what you
are doing that you call stuttering and what you do as you just talk easily. Use a
mirror or a tape recorder to help you observe what you are doing. (D. Williams)
2
You, as a stutterer, must study your speech patterns in order
to become aware of the difference between stuttered and fluent speech. (Neely)
3
When a moment of stuttering occurs it can be studied and its evil effects
erased as much as possible. (Czuchna)
1
105
I am a stutterer. I am not like other people. I must think differently,
act differently, live differently—because I stutter. Like other stutterers, like other exiles, I have known all my life a great sorrow and a
great hope together, and they have made me the kind of person
I am. An awkward tongue has molded my life.
(Johnson—written when he was a young man)
106
Analyzing Your Blocks
How to Analyze in Detail What You
Do With Your Speech Mechanism When You
Have Difficulty
This section describes in detail how you can feel and
analyze your blocks to correct your errors.1,2 Unfortunately,
there is no way for us to know exactly what happens in your
case. But we will list here some variations of stuttering
behavior which may happen when certain consonant
sounds are uttered. This will give you a better idea of how
to study your problems.
It should first be noted that all vocal expression or speech
is actually made up of separate and different sounds which
are combined to make words.3 To express it in another way,
when you talk you articulate the sounds which form words.
In the interest of simplicity, these sounds will be referred to
as vowel and consonant sounds—the vowel sounds being
‘a,’ ‘e,’ ‘i,’ ‘o,’ ‘u,’ etc., and the consonant sounds ‘b,’ ‘c,’ ‘d,’ etc.
When you stutter, you may think that you are
blocking on a word. That is true, but more specifically
you are blocking on a sound of that word or in making
the transition from one sound to the next in that word.
To use a simple illustration when you stutter saying
b-b-b-ball you are not just blocking on the “b” sound,
as you have already sounded it, but having trouble
making the transition to the rest of the word.
you are making. (Starbuck)
2
At a time when you feel that you “are stuttering” pay very close attention
to what you are doing…. You can ask yourself—precisely what are you doing?
You should answer this question in descriptive detail, and when you have done
this you should always ask yourself why you were doing what you were doing.
(Johnson)
3
You may think of a word as being a unit or lump of sound. Actually a word
is composed of separate sounds much as a written word consists of separate
letters. (Neely)
1
107
Analyzing Articulation Movements
Many stutterers find their greatest difficulty in
shifting from one sound to the next sound.
Among other possibilities, you may find out that your
airflow is sporadic or jerky; or you let all your air out first
and then try to talk without sufficient breath; or you use
some kind of starter noises or interjections; or you jam your
lips shut and can’t get them apart; or your tongue sticks to
the roof of your mouth; or you have rapidfire repetitions or
just repeat sounds; or
you have tremors in
Many find their greatest difficulty in
your jaw; or you have
shifting from one sound to the next…
prolongation of certain sounds, etc.
Trying to Say a Name
Let’s try out your speech muscle activity on a sample
consonant sound. Let’s assume that your name is Peter and
you have particular trouble with the ‘p’ sound and the
transition to the next sound.
(Virtually every stutterer has trouble with his own name, particularly when he is called on to identify himself to someone in
authority.)
For your information the ‘p’ sound is called a “labial
plosive.” This kind of sound is correctly made by closing
your lips and building up slight air pressure and then
suddenly releasing the air by separating your lips
quickly. Try making the sound by itself.
Anyway, now in front of your mirror, stutter badly on the
‘p’ sound as you say your name putting a lot of tension into
it. Then stutter on it again in the same way but this time do
it in extremely slow motion so you can have an opportunity
to feel what your speech muscles are doing when you block.
Repeat this several times.
108
Identifying Articulatory Movements
What happened and what did you find out? Certainly
you had an excessive amount of tension but where was it
principally located? Perhaps there was no passage of air
because your tight lips closed the airway.
Perhaps instead of attacking the ‘p’ sound directly, you
hemmed and hawed, using various repetitive starter sounds
like ‘uh’ or ‘er’ or ‘well,’ etc. Or maybe you stalled and
started again repeating a phrase. Because of the tension,
your speech muscles may have become temporarily frozen
in a rigid position thus blocking any sound.
Possibly you had tiny vibrations in your lips or jaw—or
possibly the sound came out p-p-p-p repetitively in a bounce
pattern like a broken record. Or maybe your lips were
squeezed or protruded and set in a fast vibration or
trembling called tremor.
More likely you blocked because you held your
mouth in a fixed position. In other words, you pressed your
lips together so tightly on the ‘p’ sound that you couldn’t
separate them and let the air escape. You couldn’t uncork
your mouth because you were making such a hard, tight
contact. Are you doing these things?
Of course you are not doing all these things and
running into all these complications, but you need to write
down how and where you get blocked making the ‘p’ sound
as a reminder of what can be eliminated or modified.
Now, still in front of your mirror, say your name
without stuttering in extremely slow motion repeatedly to
get the feel of the difference between how you stutter on it
and how you say it without stuttering. Feel the difference.
Anyway, let’s make the assumption that your difficulty
with the ‘p’ sound occurred because you pressed or squeezed
your lips together so tightly or firmly that the sound was
blocked. What can or should you do to change or correct
that habit?
109
You can correct it by loosening or softening the tension
in your lips in order to keep the pressure from building up.
When you start to say your name relax your lips so they feel
weak and flabby—and then consciously control your
movement so that they come together only very slightly as
you utter the ‘p’ sound.1 This is called a light contact.
To produce a light contact, you have to control the action
of your lip muscles so that they just barely touch with no
pressure whatsoever. In this way, you can consciously
control the action of your lips so that they touch only
lightly as you allow the air from your breath to flow between
them.1 Practice making light, loose contacts so you can get
the feel of maneuvering your lip movement through the
‘p’ sound.2
Using this as an example, your task is to figure out what
kind of articulative contacts or movements you make when
stuttering so you can learn how to change or control your
speech muscle action.3 This needs to be done to correct any
of the bad habits you have acquired. You will find that many
of them are fairly easy to understand and can be modified
or eliminated through the application of corrective procedures described in the next chapters.4
1
Concentrate on controlling the lip muscles so that they just barely touch
and air is able to flow between them. (Starbuck)
2
We must enable them to learn that it is possible to start a feared ‘p’ word,
for example, without pressing the lips together with compulsive force.
(Van Riper)
3
As you say an isolated word beginning with a ‘b’ or ‘p’ for example, concentrate on the feeling of movement as you bring your lips together and as they
move to the next sound. (Neely)
4
You, too, can explore the unknown. When you do you may find that you
push your lips too hard or jam your tongue against the roof of your mouth.
(Luper)
110
Others are more complex; but if you analyze your faulty
speech habits carefully, it is reasonable to expect that you
should be able to use controls which will modify or eliminate
your unnatural or unnecessary actions.1
The more you continue to study the way you stutter on
the sounds and words on which you have difficulty and then
compare them with how you say them fluently, the more you
will realize that you should be able to move through a block
easily without struggling.
Results from Comparison
From this comparison, you will find that you must have
been making unnecessary speech movements that represent part of your difficulty. Such movements would not be
needed for the correct production of the sounds or words you
are trying to say. So now that you have studied and know
what these needless or superfluous actions are, you are in a
position to work on eliminating them.2
We wish we could specifically list what needs to be done
in your case, but we are not familiar with the particular
pattern of how you stutter. And unfortunately there are so
many detail variations involved in the articulation of all
sounds that it would be impossible to describe all of them.
Taking advantage of this information, the next chapters
will explain how you can work on changing or correcting
what is wrong by using block corrections. Even though it is
impossible to consciously control all the speech actions
1
The better your understanding of your speech problem, and of what you
are doing to complicate the problem, the more you can do to help yourself feel
capable of dealing with it successfully. (Johnson)
2
The stutterer must be aware of articulatory postures and controls and
varying degrees of muscular tension so that he can eliminate or modify
behaviors which interfere with fluency. (Hulit)
111
Results From Comparison
involved, still by using these block corrections as described,
you will find that you do not need to stutter as you have
been doing.1 We remind you again that stuttering is something you are doing, and you can vary or change what you
are doing.
You can change your old stuttering response into a more
appropriate one. There is no need for you to spend the
rest of your life struggling with blocks and making yourself
miserable. Have faith in your ability to conquer your
problem.
1
Once you begin to see what you are doing that makes talking difficult, you
will find that much of this behavior is controllable. (Luper)
112
Rule (8)
(page 51)
Block Corrections
As a result of your study in the last chapter, presumably you now more correctly understand precisely what
you have been having your speech muscles do abnormally
when you stutter. From your knowledge of this valuable
information, of course, the next step is to take action to
modify or correct what you have been doing unnecessarily
or incorrectly. How is this done?
It is recommended that you now practice block corrections. There are three of these which are designed to show
you how you can modify or change what you are doing as
you stutter. And they will enable you to cope with your
fluency disruptions and the fears associated with them.
The next three chapters describe how to work these
corrections. The first one entitled “Post-Block Correction”
explains in careful detail how you can correct what you
have done abnormally after you have experienced a block.1
This is most educational and should be practiced first.
The next chapter entitled “In-Block Correction”
describes how best to pull out of a block which you may be
experiencing. Then the chapter entitled “Pre-Block
Correction” outlines how to prepare to move smoothly
through a block which is anticipated.2 That is the goal
toward which your efforts have been directed and describes
the final step in this program.
1
By using the awareness of muscle movement to guide your lips, tongue and
throat from sound to sound throughout the word. (Neely)
2
The terms post-block correction, in-block correction and pre-block
correction designate to the stutterer the proper time and sequence of applying
procedures which lead to better speech. (Starbuck)
113
…the behavior called stuttering is extremely modifiable.
It is possible for the speaker to change drastically the things
that he does that he calls his stuttering. (Johnson)
114
Rule (8)
(page 51)
Post-Block Correction
CANCELLATION
This is probably one of the best single procedures
that you can use in learning how to stutter less severely.
It is not complicated but it does make you confront and
accept your stuttering.
Use this post-block correction procedure immediately
after you have a block and before you continue with what
you have to say. At that time it should be easier to feel
exactly what went wrong, and how it should be modified.
Accordingly, it is recommended that you now put
into effect the results of your findings of how you stutter by
practicing these corrections, sometimes referred to
as cancellations. Do your best to follow through on this.
It offers an opportunity for immediately revising your
behavior in order to correct your errors.1
Briefly, the post-block correction works as follows. After
you stutter on a word, you are to pause momentarily to allow
time for you to think back and figure out what you did which
caused the stutter and plan how to correct it.2 In making
post-block corrections, you are called on to overcorrect your
faulty speech muscle movements.
1
You must learn how to cancel. This refers to a technique wherein you go
right through your own stuttering block, then pause during which you study the
block you have just had, then try the word in a different way. (Van Riper)
2
In other words a post-block cancellation theoretically allows stutterers the
opportunity to exercise and develop self-control where previously only lack of
control prevailed. (Stromsta)
115
The following section outlines the sequence of action.
Study the explanation carefully to be sure that you understand exactly how the process is executed, and then put it
into effect when you stutter. The numbers in parentheses
denote the steps in sequence.
Post-Block Correction—Sequence of Action
When you stutter on a word, the first thing you do is
(1) finish saying the word on which you blocked—i.e.,
complete the entire word. Don’t quit or use a trick to dodge
it. Then (2) you have got to have the determination to
pause—come to a complete stop once the word has been
uttered. The pause is to give you time to study your problem
and pantomime its solution.1,2
After you have stopped, (3) try to relax the tension in
your speech mechanism, particularly in your throat. Get the
feeling of your tongue lying limp in the bottom of your
mouth. Let your jaw drop slightly open as if you were going
to drool with your lips loose. The key is to feel the tension
draining out as your breathing returns to normal.3
1
The pause allows the stutterer to prepare his speech mechanism for
modification by reducing muscular tension and by returning the articulation to
a neutral position. (Hulit)
2
As soon as the stutterer is able to be fairly consistent in pausing after his
moment of stuttering, we ask him next to use the pause as an opportunity to try
to calm himself and to begin the next word slowly. (Van Riper)
3
Thinking of and striving for increased relaxation when under stress will
provide a competing response which will help you be more calm. (Gregory)
116
As you pause and relax (4) think back and ask yourself
what caused you to get stuck on that sound—what did you
do wrong—what did you do that was abnormal.1
In the past chapter you studied the mistakes you made
when you blocked on different sounds and what you could
do with your speech muscles to change or correct these
errors. Using this information, think what went wrong
when you stuttered and now (5) review what you can do to
slowly reverse or change the errors you made on this
particular sound or word.
Then (6) mentally rehearse or silently mimic how it
would feel to have your mouth slowly make these corrections so as to modify your usual pattern of stuttering and
move through the word.
(As you take time to study your blocking problem and plan
how to deal with it, it may seem to you that the person to whom
you are talking may lose interest in what you have to say. That
is possible but stick to your guns, and concentrate on working
this post-block correction properly. Take your time as the pause
needs to be long enough to accomplish your purpose of preparing your course of action.2 )
1
When the word is completed, stop completely and analyze all of the errors
you made while all of the tensions and pressures are still fresh. (Starbuck)
2
As stutterers begin to put these pauses into their speech following their
moments of stuttering while appearing relatively unruffled and unhurried, they
find much more acceptance from those with whom they are communicating
than they had expected. (Van Riper)
117
After determining what you need to do to correct the
errors you made—and after you have mentally rehearsed
how it will feel to say the word again while making these
corrections—then and only then—(7) repeat the word as
you feel yourself making the corrections.
BUT, this time (8) articulate the sound on which
you blocked in a smooth, prolonged manner. This will give
you time to concentrate on feeling yourself correcting or at
least changing the speech muscle errors you made when you
stuttered. And keep your voice flowing to enable you to
slowly make the transition to the next sound.1
In speaking this way please remember to over-correct
your wrong speech muscle action. Change what you
usually do when you block on a sound. For instance, if it
calls for a light contact, press so lightly that there
is little or no contact. And pay more attention to how
the articulation of the word feels than how it sounds.
Although this post-block correction may seem to take a
long time, it should not take over a few seconds. The more
you do it and become adept at it, the less time it will take.
The slow prolonged resonant way of working your way
through the sound while keeping your voice flowing will
give you plenty of time to feel yourself making the corrections you need to make.
Move slowly and gently from sound to sound through the word. (Neely)
1
118
You need not be ashamed of repeating your stuttered
words in this deliberate manner. The slight delay and the
careful corrections will show others that you are determined
to control your difficulty. Most listeners are considerate
anyway, and they will actually respect you for your efforts.1
You will need plenty of opportunity to use post-block corrections, and it may help some to practice them aloud when
you are alone.
Obviously, duplicating a stuttering block can be a
traumatic experience. And your tendency may be not
to modify the block but rather to say the stuttered
word a second time normally and rush onward as
if nothing had happened. However, it should be
pointed out that if you do so, you will miss the
valuable benefit to be gained from this procedure.2
Persevere in using these corrections when you stutter.
Their use will help you train yourself so you can move more
easily through a block. They will break up the pattern of
your stuttering and help you gain confidence in your ability
to control your speech.
As one person expressed it, “this sounded easy but
I found out a lot of time is necessary before you can count on
saying the word the easy way.” Another commented, “it was
pretty tough to stutter and then wait to try again, but it’s
gotten easier. I learned more about my stuttering each time
I did it.”
1
Most people, believe it or not, would be considerate and sympathetic of
your problem. (Barbara)
2
Do a good job on the post-block process of correction. This is where correction takes place. Don’t just say the words over again fluently after you stutter.
Say them carefully, concentrating on the feelings of muscular action as you
coordinate the breath stream with the formation of sounds. Concentrate on the
feelings of movement and fluence. (Starbuck)
119
K-k-k-katie, beautiful Katie
You’re the only g-g-g-girl that I adore
And when the m-moon shines
Over the cowshed
I’ll be waiting by the k-k-k-kitchen door.
Above are words from a favorite song published many years ago.
It would probably be more difficult to popularize such a song now.
120
Rule (8)
In-Block Correction
PULL-OUT
With the post-block correction, you learned how to
cancel your stuttering after it had occurred. Now it is
suggested that you can use a somewhat comparable method
of pulling out of a block when you are in the midst of it.1
This is to be used in those cases where you have the need for
easing out of a block with which you are struggling.2 What
do you usually do when you feel yourself stuck in a block
with no warning?
Perhaps you have tried to escape from such a block
by using some intelligent procedure, but more probably you
just struggle blindly, trying to force your way out. It would
be better to use a systematic method, one that is compatible
with this therapy approach, called an ‘in-block’ correction.
Here’s the way it works. When you find yourself in the
middle of a block, don’t pause and don’t stop and try again.
Instead, continue the stuttering, slowing it down and letting
the block run its course, deliberately making a smooth
prolongation of what you are doing.3 In doing this, you will
You must learn how to pull out of your old blocks voluntarily, to get them
under voluntary control before uttering the word. (Van Riper)
2
It is possible to release yourself voluntarily from blocking or repeating
prior to completing a word utterance. (Czuchna)
3
He (the stutterer) can change the way he stutters by deliberately “hanging
on to” or prolonging the troublesome sound without struggling or unnecessary
forcing. (Luper)
1
121
In-Block Correction
be stabilizing the sound by slowing down a repetition, or
changing the repetition to a prolongation, or smoothing out
a tremor, or pulling out of a fixation as you ease out of
the block.
In doing this, you will come to realize that you can
control the duration of your block by changing the rate and
then learning to smooth out your stutter.1 Anyway, hold the
stuttering long enough to feel control and figure out what
you are doing wrong and what needs to be done to change
your faulty actions. From your previous study, you should
realize what you can do to counteract your incorrect speech
behavior.
After you have figured this out, then voluntarily release
yourself by discontinuing the prolongation or repetitions—
and in slow motion put into effect the measures you
decided would reverse or correct the abnormal speech
muscle action.2
If for any reason you are unable to get hold of your
stutter and move out of the block as described above, then
it would be better for you to do a post-block correction in
order for you to keep the feeling of being in control. In any
case, you should be able to correct what you did wrong
because of what you have learned from your analysis and
study of the way you stutter.
1
As stutterers learn that they can control the duration of the stuttering
block, the fear of not being able to complete the message disappears.
(D. Williams)
2
In pulling out of blocks the stutterer does not let the original blocking
run its course as he does in cancellation. Instead he makes a deliberate
attempt to modify it before the release occurs and before the word is spoken.
(Van Riper)
122
Rule (8)
(page 51)
Pre-Block Correction
PREPARATORY SET
Presumably you have now conscientiously practiced and
regularly employed post-block and in-block corrections
when you stuttered. In doing this, you learned new ways of
responding and how to move through a block in a predetermined manner. You should now be adept at correcting your
stuttering after it happens.
However, you may have felt that post-block corrections
were like locking the barn door after the horse was stolen
since the process did not stop the stuttering when it
started. Of course you are right, but it is essential for you to
have had this training because it paves the way for this
next step. Obviously, you now need to learn how to make
preparations to forestall your stuttering before it happens.1
This process of controlling your blocks before they occur is
called ‘pre-block’ correction.
Most of the time, you anticipate when you may have
trouble before it happens. In fact, stuttering is sometimes
referred to as an “anticipatory struggle reaction,” which in
effect says that you anticipate trouble and react by
struggling to avoid it. Occasionally there is no anticipation
and the blocks surprise you. This will be discussed later.
1
You must learn how to prepare for the speech attempt on feared words
so they can be spoken without interference or abnormality. (Van Riper)
123
Since you usually have anticipation of difficulty before it
happens, we propose that you take advantage of this fact.
To do so will give you an opportunity to respond to the
threat of trouble by preparing for it ahead of time.
So in this step, it is suggested that you learn how
to cope with your stuttering by moving out ahead of a block
and approaching it in a new and better way through
employing a pre-block correction. This is similar to the postblock correction except for the fact that your planning is
done before (pre) rather than after (post) the need arises.
In the pre-block correction, when you anticipate
stuttering on a word or sound, you are to pause just before
saying the word in order to plan how you will attack it. And
you do not proceed to speak the word until you have thought
about how you usually stutter on the sound and figure out
what needs to be done to correct or modify the errors you
usually make when stuttering on that sound.
Even though this course of action is similar to the postblock process, please study the following directions
carefully so you will know exactly how it should be done.
It is a key part of your therapy program.
To prevent any possible misunderstanding, we outline in
detail how these pre-block corrections should be put into
action. It will require concentration on your part. The
numbers in parentheses refer to the steps in the procedure.
Pre-Block Correction—Sequence of Action
This is the exact procedure you should follow in using a
pre-block correction when you approach a feared sound or
word. Just as you come up to the word and before you start
to say it, (1) pause—come to a complete stop. This pause
124
before starting to say the word gives you time to calm
yourself and to plan and rehearse how you will deal with
the word.
The pause will not be long and a willingness to halt will
convince both you as well as your listener that you are
determined to be in control of the situation.1 Even if it takes
longer, the pause may be less embarrassing than your
stuttering, particularly if you blunder into it blindly.
After you have stopped, (2) try to relax the tensed area
of your speech mechanism including your throat. Try to get
a feeling of your tongue lying limp in the bottom of your
mouth with your jaw slightly open as if you were going to
drool with your lips loose. See if you can get a feeling of
looseness in that area.
As you relax, think back and (3) recall what you usually
do abnormally when you block on that sound. What errors
do you usually make when you stutter on it? You should
remember these errors from the analysis and study you
made of your speech muscle activity and from your experience in making post-block corrections.
Then from this review of the errors you usually make (4)
figure out what corrections you learned to put into effect to
change what you usually did wrong when you stuttered on
that sound in order to help you eliminate or modify the
abnormalities you make when you block on it.
Then (5) rehearse in your mind, or actually pantomime
how it would feel in your mouth to put these corrections into
Society in general rewards the person who obviously confronts and
attempts to deal with his stuttering. (Stromsta)
1
125
effect, saying the whole word in a slow motion deliberatelyprolonged manner, shifting slowly from one sound to the
next. This means you are to mentally rehearse or
pantomime how you will act out these changes to eliminate
the errors you usually make on that sound.1
As your breathing returns to normal—and not before—
(6) say the word, making the corrections as you rehearsed
them. BUT (7) articulate the sound and word in a sliding
resonant prolonged manner, exaggerating the corrections,
paying more attention to how the word feels than how it
sounds.2 Although the slow articulation may carry over
to the following few words, you should not talk that way
otherwise.
A problem is often encountered in making the transition
from the consonant sound to the vowel sound which follows.
The slow prolonged manner of keeping the sounds flowing,
as you utter the feared word, is designed to make that
transition smooth.3 Also it allows you sufficient time to get
the feeling of making the corrections as you slide through
the sound and word.4 As you move slowly through the word,
concentrate on getting the feel of change or overcorrecting
your abnormalities.
1
First, he (the stutterer) is to reduplicate in pantomime a fore-shortened
version of the stuttering behavior he has just experienced and, secondly, he is
to rehearse again in pantomime, a modified version of that behavior.
(Van Riper)
2
Learn to be aware of the feeling of muscle action as you move through a
word. (Neely)
3
Any action that emphasizes or enhances smooth transitions from sound
to sound, syllable to syllable, or word to word, will be beneficial for on-going
speech. (Agnello)
4
These corrected words may seem prolonged and drawling. That happens
as a result of the more careful and slower movements you made while saying
the word. These will speed up as your skill improves. We are not after slow,
drawling speech, but speech with more self-controlled movements. (Starbuck)
126
If you are embarrassed by the pause or by the
drawling way you enunciate the feared word, do it
anyway! This is where your determination pays off—
you have no other choice. You will find that the pause
will become shorter and shorter as you become more
proficient at tackling your expected blocking in this
new way.
Warning—under no circumstances should you use the pause
as a postponement, although it may be tempting to do so.
The pause should be used to prepare and rehearse your plan
of action.
This pre-block correction is an important part of your
therapy program. If you can move smoothly through an
anticipated block, you are well on your way to speaking
freely and fluently. Practice pre-block corrections on both
feared and nonfeared words—or on the first word of a
sentence1 but do not use them as a trick to get started.
Some stutterers have pre-blocked on every word while
they were learning the technique but that should not be
necessary. The effect of a good pre-block carries over.
Select words on which you might block—figure out how
you usually stutter on them—then determine what
changes you need to make and apply them when you
get to the word. Whenever you suspect trouble, put
your controls into effect and pre-block. Continue this
practice until you automatically feel what corrections are
required for any type of block. This should give you the
good feeling of knowing your stuttering is under control.
It is always good to use a pre-block on the first word of a sentence.
(Starbuck)
1
127
When you become so accustomed to using pre-block
corrections that they are second nature to you, then
you can start gradually eliminating the pause. When you
anticipate trouble on a sound several words ahead, you
can use the time during which you are saying the intervening words to prepare what you need to do when you
reach the feared word.
Then put your speech into low gear (slow down) which
will give you time to plan how you should make the necessary corrections. Then move slowly and smoothly through
the word as you feel your way along.
This is your goal, and you may attain it fairly quickly,
but until you have confidence in your ability to do it
properly, it would be better for you first to stop and pause
in order to allow yourself the time to make adequate
preparations to deal with expected trouble.
As you get better at pre-block corrections, you will be
building confidence in your ability to control your speech
so you can move through any block in a predetermined
manner. You determine beforehand the movements you
have to make and how you have to make them to form the
sounds and say the words smoothly. It is important to
follow through on this. Stuttering is something you do, and
you should now have learned how you can change what
you have been doing.
128
Do You Get Discouraged?
If you are like many stutterers, sometimes you become
quite discouraged while you are working on improving
your speech. This could be because you are not getting
better as quickly as you think you should, or because, on
occasion, you relapse and have a lot of difficulty.
The latter may occur when you are speaking more
easily and you run into a particularly embarrassing situation and tense up and fail miserably. This makes you
quite despondent and undermines what confidence you
may have built up that you are making progress.1,2
Unfortunately, stuttering seems to be particularly
susceptible to reoccurring.3 And it should be pointed out
that there are several factors which are working against
your efforts and which tend to cause or influence relapses
or regression.
Relapses can occur because of natural tendencies
to go back to using some of your old habits such as avoidances or denying your stuttering. You have begun to enjoy
a certain amount of fluency; and to protect that fluency,
your natural instincts influence you to react as you have
been accustomed to doing for many years. Little facsimilies of your old stuttering habit may reappear.
1
Every stutterer will have some ups and downs and the course of improvement is seldom a smooth course. (Kamhi)
2
Despite progress there will be occasional days of poor talking for
disorganizing stresses are sure to intervene. (Bluemel)
3
The central problem of treatment is not the difficulty of bringing about
fluency, but the high probability of relapse; few quick cures are likely to be
durable; and in general the most reliable way to achieve a lasting reduction of
stuttering is to do it slowly and gradually through a process that enlists the
stutterers’ comprehension of what they do when they stutter, why they do it,
and how and why they are capable of altering their behavior. (Bloodstein)
129
There is no need to berate yourself when old habits
recur. Still, when this happens you should recognize them
as signals to get back on the job and review your compliance with the rules. And as you take care of these little
avoidance feelings or any forcings, they will go away.
One factor which may contribute to frustration is the
fact that almost every stutterer’s severity tends to vary
from time to time. Sometimes you speak more fluently
than at other times. Although this may result from different environmental conditions, it seems that such deviations may persist, and therefore a breakdown is more
easily triggered.
Another possible drawback to improvement sometimes
occurs when your hopes are built up prematurely.
This may be when some particular rule or guideline you
adopted caused you to make such rapid improvement that
you became convinced it was the answer to your problem.
And if confidence in that particular procedure is lessened
by failure, it tends to make the outlook more discouraging.
It is true that occasionally some one rule or corrective
procedure may be a large part of the answer to your
problem.1 Generally, though, the application of the
different procedures tends to assure more steady
progress.2
We are all different; what helps one stutterer may not work for another.
(Garland)
2
Fluency, like confidence comes slowly and slips back from time to time.
(Guitar)
1
130
Another reason some people who stutter become
discouraged is because they want and expect perfection
which is unattainable. Some feel they should be able to
talk perfectly with no hesitation or stumblings
whatsoever. To expect perfection tends to build up
pressure which they don’t need. Normal speakers are not
perfectly fluent, and your goal should be to work for easy
speech with no strain.1,2
Besides, it is possible that you could have better
natural coordination between that part of your brain that
controls your speech and the timing sequence of your
speech muscle action. That is also true of other people.
But there may be more reason for this being true
in your case, particularly if your stuttering started when
you were quite young. As a child, you may have had more
hesitations or stumblings when learning to talk than other
children. And some lack of better natural coordination
mentioned above could have contributed to the development of your stuttering.
As you know, coordination is a physical attribute which
varies with the individual. Just as some children learn to
walk earlier than others, some learn to talk more easily
than others. In adults, for instance, a champion golfer has
superior coordination between that part of the brain which
Don’t waste your time and frustrate yourself by trying to speak with
perfect fluency. (Sheehan)
2
Lessen your demands on yourself and on others for perfect speech and
total acceptance. (Barbara)
1
131
controls body movements and their action in guiding his
golf clubs. In any case, a goal of perfection in speech is
impractical for those who stutter.1
Most stutterers experience intervals of relative
fluency filled with hope followed by episodes of blocking
filled with despair. When relapse from fluency occurs, try
to learn how to identify the source of the relapse. The
answer should be somewhere in this book. Check your
observance of the guidelines, and whenever you talk, don’t
force or struggle—stutter easily.
However, we would emphasize that there is no need to
feel guilty every time you stutter—it doesn’t mean that
you are a failure. Most stutterers get discouraged at times.
Stuttering is a tough enemy and needs to be beaten down
time and time again into submission.2 Accept this fact.
Therapy may sometimes be an experience in frustration,
but possibly you may be able to look on its experiences as
having the possibility of revealing what might be done to
achieve better speech.
With the high probability of relapse, it is difficult to
bring about fluency quickly. It takes time. The most
reliable way to bring about a lasting reduction of
stuttering is to do it slowly and gradually.
Let’s review the situation in the next chapter.
1
Stutterers may be poorer than non-stutterers in coordinating the speech
production processes. But despite being at the lower end of the normal distribution in coordinative ability, most stutterers are not so poor in these abilities
that they cannot produce fluent speech. (Kamhi)
2
It requires patience and a willingness to accept reoccurrences as well as
remissions. (Garland)
132
Let’s Review—What’s Been Done
Let’s review the situation and talk about what
progress, if any, you have made. Possibly you have been
reading this book just to learn more about stuttering and
to find out how a therapy program works. If so, we hope
you have enjoyed reading it. As a result, you should now
have a better understanding of the ramifications of this
complex problem.
But assuming you are a stutterer and have been
honestly trying out the procedures outlined, you should
have found out that you could change your speaking
behavior by letting your speech be governed by the
recommendations set by the ground rules.1
In starting to work this program, we presume you first
sincerely experimented with the therapy procedure where
you talked in a slow, sliding, prolonged manner which has
alleviated the problem for some stutterers. If you used this
slow, drawling manner of talking, it should have enabled
you to communicate with less difficulty in situations
where you might have had a lot of trouble. Although this
method of talking probably helped you, we realize that
normally you might not wish to talk that way all the time.2
Experimenting with that procedure should have shown
whether or not you had the necessary determination to
follow through on therapy procedures which would help you
solve your problem. We hope you had that determination.1
1
Stuttering behavior can be changed. Even though you may have no
choice as to whether or not you stutter, you do have a choice of how you
stutter. (Murray)
2
Alleviating one’s stuttering is ultimately a matter of self-discipline and
control. (Stromsta)
133
Then, supposedly you proceeded to work on the
ground rules. It would be too much to expect completely
satisfactory observance with all their objectives. But if
you followed these guidelines, you have found that you
can control your difficulty, partly through modifying
your feelings and attitudes toward your stuttering—
and partly through modifying the abnormal actions
associated with your stuttering behavior.
Okay, you started on the rules. In complying with some
of them, you were not told to stop your stuttering but were
asked to make certain calming changes in your manner
of talking.
For instance, you were first (1) urged to make a habit of
talking slowly and deliberately. Then, even more importantly, (2) you were asked to stutter easily, gently and
smoothly, prolonging the starting sounds of feared words and
the transition to the next sounds. Also, it was suggested (10)
that you try to vary your speech rate and loudness and
speak with expression in a melodious manner.
All right, what happened? Do you now make a habit of
always talking in a slow and deliberate manner? And do you
make a point of stuttering easily, gently and smoothly—
in as expressive and melodious a manner as possible?
If you complied with these requests, you are talking with
less tension and the frequency, and severity of your
difficulty must have lessened. That means you have made
some progress.
But you still stutter. Then, to cut down on the fear of
difficulty you experience you were asked to change certain
habits which reinforced that fear. In one rule (3) you were
told to quit trying to hide the fact that you were a stutterer—in
fact openly admit that you were one. But even more importantly (5) you were to stop all avoidance, substitution or
postponement habits you used to get around expected
134
trouble. That was a tough one, too. And likewise (6) you
were told to continually maintain good, natural eye
contact when stuttering to help reduce feelings of shame.
Have you definitely changed your attitude and conduct
so that you will now openly discuss your stuttering with
anybody? Also, do you maintain good eye contact with your
listener when having difficulty? And can it be assumed
that you no longer try to avoid, postpone or substitute?
If you have complied with these rules, you have eliminated
much of the worry and anxiety which torments stutterers
and increases their tension. Just to have decreased some
of your fears should have made life more pleasant.
All of the above was primarily essential in helping you
calm some of the tension and reduce some of the fears
which are the basic ingredients causing or aggravating
your trouble.
Under (4) you worked on finding out if you had any
secondary symptoms accompanying your stuttering. And if
you did, supposedly you worked to eliminate them—so
hopefully, you are now rid of that part of your stuttering act.
Accordingly, your stuttering was then confined to irregularities in the way you operated your speech mechanism.
Your next step under rule (7) was to make a careful
study of your stuttering pattern. To do this, it was
necessary to accurately duplicate what you had your
speech mechanisms do when you stuttered. Accordingly,
by monitoring your speech you obtained a clear understanding of what you did irregularly or abnormally with
your speech muscles (lips, tongue and jaw) which was not
needed in the production of speech.
Having obtained this valuable detailed information
about your wrong speech muscle actions, you were asked
to modify or eliminate these by employing block corrections. These key procedures (8) were not easy to work but
135
were organized to eliminate or modify the articulatory
errors which you made when stuttering.
They were designed to help you guide your speech
muscle movements easily and smoothly into, through and
out of your blocks by substituting new patterns for old
habits. These procedures should have helped you
to modify the irregular actions which characterized
your stutter.
Theoretically this eliminated your stuttering; but
practically, it should have at least helped you to speak
without much or all of the blocking maneuvers you
previously experienced—habits which you now know can
be unlearned.
The other rules not mentioned above were part of your
program and we assume were not overlooked. One of them
(9) urged that you keep your speech moving forward with
no repetitions or back-tracking so as to keep continuous
voicing progress.
Another (11) advocated that you pay more attention
and think more about what fluency you had. You have
worried about and brooded over your stuttering long
enough. And if you have made a point of feeling what
fluency you have, the more it should have helped you
to build confidence. And obviously, it is presumed (12) that
you have tried to talk as much as possible as otherwise you
would not have made the opportunities you needed to
work on your speech.
The above briefly summarizes the results which we
hope you were able to accomplish in following the twelve
rules or guidelines. Have you given it time? Where are you
now? See next chapter for conclusions.
136
Where Are You—Conclusion
If you have done your best to comply with all these
guidelines, you have completed this therapy program.
We don’t know how fluent you have become—possibly
you have come a long way—possibly you haven’t. This
book only describes an approach which will work. You are
the one who has produced the results.1
In following this program, you now more willingly
admit that you stutter and hopefully you continue to
eliminate any avoidance habits you may have had. This
should have helped relieve a lot of your anxiety and helped
you develop more self-confidence as well as increased your
ability to tolerate stress.
Also if you have learned nothing else, you should have
found out that you can change your way of talking.2,3 And
if you can vary the pattern of your stuttering, you can
learn to control it. You want and need that feeling of
control which enables you to talk easily and comfortably.
And if you had the patience to stick to your guns
in this program, we’ll bet you’re glad that you didn’t back
out. But even for those who have made rapid progress,
we advise caution. Strange as it may seem you may need
to adjust to fluent speech.4
It is not a matter of luck. You can make your own “luck.” You can get
there. (J. D. Williams)
2
Speech is something produced by the speaker and as such is something
the speaker can modify and change. (Conture)
3
By learning that he has a choice in the way he talks and in the manner
in which he reacts, he will come to realize that he can be responsible for the
way he talks. He will come to be the kind of speaker who can change the
speaking he does. (D. Williams)
4
You may be astonished that fluency is anything to which you would have to
adjust. Yet it is a central problem in the consolidation of improvement. (Sheehan)
1
137
You may need to monitor your speech as you become
fluent, depending on your reactions. For instance, you
may start talking so fast that you do not become aware of
avoidances or struggles that could develop. Furthermore,
since you have not been accustomed to talking freely, any
inability to express yourself in managing phrases or
sentences may cause you to lose confidence in your way
of talking.1
As has been pointed out, unfortunately, stuttering
seems to be particularly susceptible to reoccurring.2
You will need to guard against slipping back into old
habits. Habits which you acquired years ago and which
have been performed for many years can reinstate
themselves if you aren’t careful. You may at times be
confronted with old fears.
If you are confronted with such fears, the most important point for you to remember is that a willingness to
stutter in a modified way can be a tremendous help in
sustaining and reinforcing your fluency.
Also to help prevent backsliding or regression, do
your best to make certain that your speech is governed
the ground rules. These common sense measures can
always help you communicate with less stress and strain.
And be sure that you do not start avoiding.
1
We have seen stutterers who have become quite fluent following therapy,
but who still lack conversational skills. A typical example would be the young
man who is no longer afraid to talk to a young woman, but who doesn’t know
what to say when he meets one. (Guitar-Peters)
2
Traces of the disorder usually remain and relapses occur. (Freund)
138
If you run into any unusual difficulty, you can always
use block corrections. It might be well to review and
practice them occasionally anyway since you may always
be able to use them to advantage.
Actually as time passes on, you should continue to
gain confidence in your ability to control your speech.1
Be assertive; the more confidence you have, the more
freedom from fear you will experience.
It will help if you adopt a positive attitude generally.
Tell yourself that you can and will overcome your difficulty. If you can adopt an assertive attitude and combine
it with controlled techniques, you will improve faster.
Believe in yourself, be assertive, and have confidence
in your endeavors.
On the other hand don’t expect or claim too much.2
Don’t be too anxious to talk too well too soon and don’t
make excessive demands on your speech which will be
impossible to achieve. And don’t be fooled into thinking
that just because you don’t stutter that that automatically makes you witty, charming and persuasive.3
If someone says you are cured, don’t feel that you have
to prove it. Instead tell him or her that you still stutter and
actually show them that you can do so by stuttering voluntarily. If you always call yourself a stutterer, you will be
under no pressure not to be one. Remember stuttering is
largely what you do trying not to stutter.
1
Confidence comes when we do battle and succeed. It comes when we
accept a challenge instead of running away from it. (Van Riper)
2
On the whole people who stutter are highly intelligent and capable. Yet
there appears to be a discrepancy between their realistic capabilities and
potentialities and what they realistically expect of themselves….To avoid this
dilemma, make your expectations more reasonable. (Barbara)
3
Stutterers are no better or no worse than anyone else, and you would not
necessarily set the world on fire if you only did not stutter. You would just talk
better. (Emerick)
139
Your speech, like that of others, doesn’t have to be
perfect.1 Most people are disfluent and don’t have verbal
perfection—stutterers or not. Stuttering is a stubborn
handicap and if you have conquered it to the extent that
you have freedom from fear, you can no longer claim it as
a handicap.2 Therapy is a challenge as life is a challenge.
Have faith in yourself.3
And if you have just been reading this book for information, we would again point out that there is no reason
for you to spend the rest of your life stuttering helplessly
and making yourself miserable.
Others have prevailed and so can you. Program yourself for success and have confidence in your ability to
achieve it.
The End
Perfect fluency is not obtainable and is a self-defeating goal. (Sheehan)
If the fear of stuttering can be reduced, then certainly stuttering itself
can be reduced. (Rainey)
3
After all, fellow stutterers, there are strength and resources within each
of us. Only through these can we really accomplish anything. (Brown)
1
2
140
A Personal Letter to You
Smile and make up your mind that you are going to be
happier and get more joy out of life!
As you follow the suggestions in this book, bear in
mind that stuttering is your problem and yours alone,
and it probably will take a lot of discipline and desire to
accomplish your purpose.
Adopt a positive attitude, and encourage yourself to
maintain a realistic commitment to undertake the
difficult assignments needed for progress.
And since you may have been stuttering for years, it
may take time to achieve the success you are looking for—
but it can be done, and the result is worth the trouble.
Here’s wishing you freedom from fear and a happier
life.
Sincerely yours,
Malcolm Fraser
141
Life’s battles don’t always go
To the strongest or fastest man;
But sooner or later the man who wins
Is the man who thinks he can!
142
Information—Appendix
Self-Help Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144
Explaining Effect of Fear . . . . . . . . . . . . . . . . . . . . . . 145
On Breath Control . . . . . . . . . . . . . . . . . . . . . . . . . . . 146
Electronic Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Using the Telephone . . . . . . . . . . . . . . . . . . . . . . . . . . 148
Relevant and Interesting Quotations . . . . . . . . . . . . 152
Replies to questions such as
Does stuttering tend to come and go?
Why are you apt to have difficulty saying
your name?
Does recovery take long?
Can you be temporarily helped by
practically any type of treatment?
Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
Authors of Quotations . . . . . . . . . . . . . . . . . . . . . . . . 186
Index—Complete . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189
143
Sharing Problems with Others
Self-help or support groups have been organized in many
places across the country. At their regularly scheduled meetings, those who stutter have the opportunity to discuss their
problem with others who are having the same difficulty. Some
meetings are organized by speech clinicians in conjunction
with university or college speech pathology departments.
At such group meetings, it is comforting to talk over and
share experiences with others who are sympathetic and
understanding because they have been though the same
trouble. Counseling with others, including the use of speech
in social situations, should help you.1
These meetings are an ideal place to work on emphasizing
the desirable modification procedures designed to help you
become a better communicator. Talking in front of a group helps
to build self confidence, something which is badly needed by
all who stutter. Participating in such a group may help you
develop a better insight and understanding of how others react
to their communicator. When the group has the right sort of
leadership, we urge their support. It also gives one the opportunity to reach out and help others with the same difficulty.
Listed below are names of several self-help groups with
chapters in various cities and towns:
British Columbia Association of People Who Stutter
Canadian Association for People Who Stutter
Friends Who Stutter: The National Association of Young People Who Stutter
National Stuttering Association
Speak Easy of Canada
Speak Easy International Foundation, Inc.
Visit www.stutteringhelp.org and www.stutterisa.org for more information
1
Common sharing of feelings is one of the hallmarks of these self-help
groups and this is very therapeutic. (Gregory)
144
Explaining to a Non-Stutterer the
Effect of Fear
If you should have occasion to explain to a nonstutterer how fear of difficulty can affect one’s speech, the
following illustration could be used. Assuming the nonstutterer has nothing wrong with his legs, you could
point out that probably he could walk easily without
trouble or quite “fluently” along a long plank, twelve
inches wide, when it is placed on the ground.
But if that same plank is placed on a wall high above
the ground, then, if asked to walk along the plank, he
would probably develop a fear of falling. As a result, it
would be difficult for him to walk along the plank in a
normal way. In fact he would probably put on a poor
exhibition of walking normally or “fluently.”
This example is somewhat parallel to the problem of
stuttering. Nearly all stutterers have the physical
equipment to talk properly, but in many cases the fear of
stuttering causes them to try to force trouble-free speech.
And since it is difficult to force the articulative mechanism of speech, he does not speak fluently.
145
On Breath Control
Although easy, quiet breathing is helpful in enabling the
stutterer to speak more freely, it is not suggested that the
stutterer try to consciously control the inhalation and
exhalation of his breath. Trying to consciously control breath
can too often result in breathing abnormalities including
speaking at the end of breath, gasping or hyperventilation
with a resulting increase in tension.1
When the stutterer speaks slowly and smoothly,
particularly in the initiation of words, in an easy onset
manner with soft contacts, it will help to influence natural
and proper breathing.
In an effort to eliminate stuttering, some speech pathologists recommend that the stutterer should make a slight
“sigh” as he tackles a block with the thought that this would
keep his vocal cords open and relaxed which would enable
him to move more easily through the block. This is somewhat similar to the recommendation that a stutterer make or
breathe a silent “h” sound when starting to say a feared word.
Such techniques can work, as they will help release
tension in the vocal cords because they distract the mind from
fear. However, as such distractive effect wears off, the stutterer may be left with abnormalities such as mentioned above.
To sum it up, it takes very little breath to speak.
So since breathing is more or less automatic, it should
usually not be necessary for a stutterer to try to keep it
under conscious control.2
1
There are dangers in the deliberate control of the breath for speaking.
(Van Riper)
2
Breath control is best when it is automatic and not under conscious
control….Breathing should be relatively automatic and unconscious so, in
general, the less attention you give to it, the better. (Luper)
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Electronic Devices Used in Conjunction
With Stuttering Treatment
Electronic aids and other devices have been around
for many years. Some people who stutter have found
them to be helpful, at least in limited situations such as
on the telephone or when giving a speech. Others who
may have hoped for a “magic cure” have been disappointed because the devices can be cumbersome and
make conversation difficult.
Our advice, before you spend a considerable sum of
money on an electronic aid for stuttering is to consult
with qualified speech-language pathologists who have
experience in prescribing and fitting the aid.
If possible, you may also want to log on to a discussion
group of individuals who stutter and parents of children
who stutter where you can ask for advice and feedback
about using such an aid. Such a forum should provide
you with relatively unbiased testimony from those who
have tried these aids and found them helpful, or, in some
cases, not helpful.
You may call the Stuttering Foundation at 800992-9392, for a list of electronic aids or see them listed at
www.stutteringhelp.org.
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Some Tips On Using the Phone
Many people—whether they stutter or not—have
difficulty using the telephone.
Listen to some non-stutterers dealing with phone calls.
Some take several seconds to answer. Others may “Um” and
“Ah” a lot. Others may be very expressive with their hands
or faces, perhaps talking loudly and aggressively.
If, as a person who stutters, you have a problem using the
telephone, then you may find the following advice helpful.
Using the phone can cause a great deal of anguish, and each
person must learn to cope with it in his or her own way.
Making Calls To Others
Making a call can usually be split into three phases:
preparation, the call, assessing how you did.
䡵 Preparation
Make sure you know why you are calling. Write the
key points on paper and have it in front of you when
you call.
Try phoning a friend or relative just before the big
call. This may help relax you.
If you have a number of calls to make, list them in
ascending order. Start with the easiest and work your
way up to the most difficult.
Do not keep putting off the call you need to make.
That will make it even more stressful and difficult.
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䡵 The Call
Quite often the difficult part is getting through to the
right person. If you are confronted by a switchboard
operator, for example, would an extension number or
department be easier to say than someone’s name? Have
some alternative first words in mind; be flexible in what
you want to say. If you do start to block, stutter openly,
gently and easily; try not to force the words out and most
importantly remember to speak slowly.
Do not worry too much about silences; they occur in
all conversations. Concentrate on what you have to say,
rather than worry about any blocks. Your purpose is to
communicate, whether you stutter or not. Pay attention
to your fluent speech. Many stutterers forget about their
times of fluency and dwell on the stuttering. Savor your
fluency; make other calls when feeling more fluent;
strike while the iron is hot. Fluent speech breeds
confidence, and confidence breeds fluent speech.
Watching yourself in a mirror while phoning can be
helpful as you will be able to see where the tension lies
in your face and other parts of your body. If you persevered with a difficult call and felt you communicated
well, then praise or treat yourself and remember the
good feeling that a successful call gave you.
䡵 Assessing How You Did
Most people, not just those who stutter, sometimes
make calls when they feel they have been less than
fluent or have not managed to get their message across.
If you felt that a particular call was stressful and
you stuttered more than usual, try to forget it. Adopt
a positive attitude; remember there will be other
conversations when you will stutter less. It is not a
disaster to stutter, and you can learn from each speaking experience. At home, tape-record your telephone
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conversations if you can. Note your speech carefully,
especially the speed and the lead up to any blocks. Try
to learn from each recording, and prepare a strategy for
the next call. Doing this over a period of time will help
to identify certain recurring problems and words.
Receiving Calls
This is the area over which you have least control.
However, even here you can go part way to easing some of
the pressure you may feel. Always answer the call in your
own time. Don’t rush to the telephone. Again have key word
options ready: your extension number, name of your organization, or even just your name. Use whatever comes easiest
to you at that moment.
If you receive a call within earshot of other people,
concentrate solely on that call.
Accept that others may hear and see you block, but do
not allow their presence to distract you from your phone
call.
Don’t be afraid of initial silence on the phone if you
struggle for your first word. It is quite common for someone
to answer the phone and then not speak, either because
they’re finishing a conversation with a colleague or because
they have picked up someone else’s phone and are waiting
for them to return to their seat.
The person phoning you may also stutter. Be patient
with others who may be just as anxious as you and may be
putting into practice some of the above points.
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Eliminating Stereotypes About Stuttering
• People who stutter are as intelligent and well-adjusted
as those who don’t.
• Don’t assume that people who stutter are prone to be nervous, anxious, fearful, or shy. While stuttering behaviors
may sometimes resemble the behaviors of those who experience these emotions, people who stutter exhibit the same
full range of personality traits as those who do not.
• Stuttering is not the result of emotional conflict or fearfulness.
• People who stutter often have excellent communications
skills. They should not be seen as deficient at verbal communication. Some are very often qualified for and interested in positions requiring them to deal with members
of the public on a daily basis.
• People who stutter have the same ambitions and goals
for advancement as non-stutterers. To an extent consistent with their abilities, they should be offered leadership opportunities and paths for promotion within an
organization.
• Stuttering varies widely in different people and varies
in the same person over different times and places.
People who stutter often have “good” and “bad” days
with their speech.
• For people who stutter, a job interview is perhaps the single most difficult speaking situation they will ever
encounter and is not indicative of how they would speak on
the job. It is important to consider the actual job requirements and conditions.
This information is from the brochure Answers for Employers,
which can be downloaded at www.stutteringhelp.org, click on
“Brochures for all ages.” This brochure is perfect for job interviews.
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Relevant Questions and
Interesting Quotations
How many people stutter?
Few realize that almost one percent
of the population stutter, that there are
more than three million stutterers in the
United States today. That many famous
people from history have had essentially
the same problem, including Moses,
Demosthenes, Charles Lamb, Charles
Winston Churchill
Darwin, and Charles I of England. More
recently George VI of England, Winston Churchill,
Somerset Maugham, Marilyn Monroe, and the television
personalities, Garry Moore and Jack Paar have been stutterers at some time in their lives. In your speech problem
you may not be as unique or as much alone as you had
thought! (Sheehan)
The incidence of stuttering amounts to
about 3,000,000 in this country alone. It
has been placed at about one percent of the
general population, roughly half of them
are children. Stuttering has no respect for
social or economic status, religion, race or
intelligence.
James Earl Jones
Is there a Web site where I can download information on stuttering?
The Stuttering Foundation’s Web sites, www.stutteringhelp.org and www.tartamudez.org, contain information
for the general public as well as specific help for those who
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stutter and their families. This online source is proving an
extremely useful tool in raising awareness about stuttering,
dispelling common myths, and providing helpful resources.
Is anything being done to increase public awareness of stuttering?
The following nationally-recognized spokespersons have
worked with the Stuttering Foundation to promote National
Stuttering Awareness Week: Annie Glenn, wife of astronaut
and senator John Glenn; country music star Mel Tillis; ABC
20/20’s John Stossel; zoologist, author and explorer Dr. Alan
Rabinowitz; NBC Sports commentator and basketball star
Bill Walton; Metropolitan Opera star Robert Merrill; U.S.
Open champion and CBS Sports commentator Ken Venturi;
Chicago Bull’s legend Bob Love; and Buffy the Vampire
Slayer star Nicholas Brendon.
Their leadership has helped reach millions of people with
a message of help and hope.
Annie Glenn
John Stossel
Mel Tillis
Robert Merrill
Ken Venturi
Bill Walton
Bob Love
Dr. Alan Rabinowitz
Nicholas Brendon
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Does stuttering tend to come and go?
Stuttering is intermittent. Even severe stutterers often
speak more words normally than in stuttered fashion.
The intermittency, however, makes the experience more
distressful, since it is difficult to adapt to unpleasantness
which comes and goes. (Van Riper)
When is stuttering apt to get worse?
When your morale or ego strength is high because of
achievements, success or social acceptance, you will tend to
stutter less. If in any given communicative situation you
expect or feel communicative stress, penalties and frustrations, you will stutter more.
You will stutter more if you are experiencing or
anticipating anxiety, guilt and hostility. You will also stutter
more if in scanning ahead you see words or situations
coming which have been associated with past experiences
of stuttering.
Those who stutter have more trouble talking to
authority figures, to people who have become impatient or
mock or suffer when listening to stuttering. Most are very
vulnerable to listener loss, to interruptions, to rejections,
penalty, frustration, anxiety and hostility.
The pressures then, which create more stuttering can
come from within or without, from the pressures of the
present, the expected agonies of the future or the miseries
of the past. (Van Riper)
Why are you apt to have difficulty saying your
name?
It is especially hard for someone who stutters to say his
name, as there is not only the problem of having to speak
the name usually quickly, but one’s name carries a heavy
self-concept psychological load. It identifies one. It represents the whole person—all of his ideas that others have
about him as well as his own self-concepts.
In addition, there is virtually no possibility of
substituting another name for one’s own name. Of all the
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words in a person’s vocabulary, our name is representative
of something we should know and utter with unhesitating
automaticity. To do otherwise implies all sorts of possibilities, none of them associated with normality. Since most
stutterers have innumerable failures trying to say their
own names, their names as cue words acquire immense
compulsive force. (Murray)
Should you work to be less sensitive?
During my first two years in college I began to see more
clearly that a stutterer has to take responsibility for making
others feel comfortable in his presence. If he can be less
sensitive about his stuttering, those around him will be
more comfortable. This will make him more at ease, and he
will stutter less, and so it goes; the vicious circle will be put
into reverse. Since I was doing something constructive
about my speech, I could smile about difficulty more. I could
even feign some voluntary disfluency. (Gregory)
Should you face up to fear?
My youth, as is the case with so many stutterers, was
filled with alternate hope and despair as I hungered for some
relief from my stuttering. This of course is not unique; most
stutterers have had similar feelings. But have you ever
asked yourself what it is that really bothers you, what it is
that causes despair? Is it your stuttering or is it your fear of
people’s reactions to your stuttering? Isn’t it the latter? Most
stutterers have too much anxiety about what they think
people might say or do as a result of the stuttering.
These anxieties can be lessened.
I remember well these feelings of worry, anxiety, and
despair. If you can learn to dissipate some of these terrible
feelings—you will be able to help yourself as many other
stutterers have done.
There is one effective method you can utilize to achieve
this goal. Face your fears! This advice is easy to give and
admittedly difficult for many of you to take; however, it is
advice that has helped many stutterers and it can help you.
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Somehow you must learn to desensitize yourself to the
reactions of others and refuse to let people’s actual or
imagined responses to your stuttering continue to affect
your mental health or your peace of mind. (Adler)
Can you be temporarily helped by practically any
type of treatment?
The fact is that stutterers may be helped for some time
by practically any type of therapy in which they believe
strongly has some important implications. It means that
they may be especially likely to obtain short-term benefit
from a therapist who is deeply convinced of the effectiveness
of the methods used, who happens to be endowed with
charisma and who has a prestigious role (e.g. physician,
psychiatrist or the like). (Bloodstein)
Why is it hard to pause?
Many stutterers show a fear of silence and any
momentary pause or cessation of sound in their own speech
brings on reactions approaching panic. Perhaps because
most stuttering occurs on initial syllables and the stutterer
has more trouble when he starts, he learns to dread the
necessity for starting. He learns to dread any period of
silence in his own speech, to fear it, and to become quite
intolerant of it. (Sheehan)
Should you take responsibility for your problem?
I also found, in working on my speech, that one makes
many discoveries that can be applied advantageously to
daily living. From the time I began therapy I have realized
that I must take responsibility for my behavior and the way
in which others evaluate me. In addition, I became aware of
the tendency to lean on my stuttering as an excuse for not
participating in some activity or for not being as successful
as I might strive to be. (Gregory)
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How severe can a block be?
The writer was a student at Stanford University and
came home for a two week vacation and at that time was
stuttering badly. As he tells it: “One afternoon I was studying in my room, writing with an ink pen. I accidentally
knocked the ink bottle over, and ink spilled over my papers,
my book, the fresh blotter, the wood of the desk, and down
onto the rug beneath. My mother, sitting in the next room,
heard my gasp and called to me asking what had happened.
I went to the door of her room, and, as I stood there, trying
to answer, I felt as though someone had grabbed me by the
shoulders and was shaking me violently. My face, twisted
with my struggle to break the tremor, turned red and then
purple. I felt as though a gigantic balloon were stretching
bigger and bigger, about to burst with a devastating force,
and I had no way to protect myself from it. Just then the
word ‘ink!’ exploded out of me. That was the worst block
I have ever experienced. It must have been forty or fifty
seconds long.” (Murray)
Has rhythmic beat been used extensively in the
treatment of stuttering?
In his younger days, the author attended several of these
commercial stammering institutes and, from what he has
read, they were typical of most of the others that exploited
stutterers in the early years of the century….One used arm
swinging, another the swaying of eyes or hands or body, the
third a lalling rhythmic form of continuous utterance in
which all words were joined and all consonants were
slurred. (Van Riper)
What kind of job should I look for?
On the whole, people who stutter are highly intelligent
and capable. Yet there appears to be a discrepancy between
their realistic capacities and potentialities and what they
unrealistically expect of themselves. Although there are
many areas of productivity through which an individual can
express his capacities and earn a comfortable living, I have
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found that many people who stutter
seem to be drawn toward jobs or
professions where the use of verbal
communication is paramount. It is not
uncommon to find people who have
difficulty speaking becoming salesmen,
lawyers, psychologists, and radio
announcers. (Barbara) Editor’s note:
Download the brochure Answers for
Employers at www.stutteringhelp.org for more information.
Isn’t it better to substitute words which are easier
said?
You will feel better about your speech if you reduce the
number of times you substitute non-feared words for feared
ones. To test this out make five telephone calls and keep an
account of the number of times you substituted non-feared
words for feared ones. Then make five more telephone calls
in which you try to make as few substitutions as possible.
You should feel better about your speech when you are not
substituting words or switching phrases to avoid stuttering.
You may find that your fear of stuttering is actually more
of a problem than your stuttering. (Trotter)
Shouldn’t you just avoid trouble when speaking?
Above all, keep in mind that the less you struggle in
your efforts not to stutter, and the less you avoid feared
words and situations, the less you will stutter in the long
run. (J. D. Williams)
In his efforts to speak fluently, the stutterer becomes
more and more fearful of being unable to cope with the
intermittent stuttering that may occur. The more he
struggles to avoid possible stuttering or attempts to hide or
disguise his stuttering that cannot be avoided, the more he
denies that he has a problem. (Czuchna)
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The only disability some people still laugh at.
Perhaps the day shall come when I can completely
forgive those who have ridiculed and imitated my stuttering. As yet I have failed to find any more excuse for this
than laughing at the crippled or the blind. I believe that
those who torment the stutterer do so to compensate for
some weakness or shortcoming of their own. (Wedberg)
Working on introducing yourself.
Between the ages of fifteen and twenty I worked rather
intensely on my speech and gradually realized that I would
need to work on situations of increasing difficulty by planning, experiencing and then planning again, etc.,
until I became more and more confident. For example, during my freshman year in college I worked on introducing myself. After working to keep eye contact with my
listener, I worked on modifying my speech and using some
voluntary disfluency when saying “I’m Hugo Gre-Gregory.”
By the end of the year I never avoided introducing myself or
making introductions. (Gregory)
Shouldn’t you try for perfect fluency?
Normal speech contains disfluencies of many types.
(Moses)
It is good for you to realize that much of your own
hesitating and fumbling in speaking is like that of other
folks. If you are like other speakers who think of themselves
as stutterers, you tend to suppose that unless your speech
flows as smoothly as a meadow brook, you are not talking
normally. Actually, many of your disfluencies are like those
of normal speakers and are so regarded by them when they
hear you. (Johnson)
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A perfect flow of language formulation and speech
production is a rare
skill. Most of us have
errors in formulation
“…make your expectations more
and imperfections in
reasonable….”
our speech produc—Barbara
tion….Compare what
you do with what your
friends do. They also repeat sounds, words and phrases,
interject “uh” or stop while saying a difficult word. Therapy
should lead toward acceptable, free flowing speech but not
perfect fluency. (Boehmler)
The stutterer has a Demosthenes* complex. He makes
demands on his speech and intellect which are excessive
and impossible to achieve. This verbal perfectionism creates
inner chaos and turmoil. The person who tends toward stuttering feels that he should always speak calmly, never
appear ruffled and constantly be in control of his listener.
When he speaks he demands of himself the ultimate and
impossible. He feels he should be the master of his words
and have a reservoir of everflowing facts and ideas. He
should speak in a clear and concise manner, pause at the
right time, and never run ahead of his ideas and be continually spontaneous when talking….To avoid this dilemma
make your expectations more reasonable. (Barbara)
*Demosthenes lived in the fourth century B.C. and is considered
one of the greatest orators of all time. He was such a powerful speaker
that his orations rallied the citizens of Athens to oppose and defeat
Alexander the Great, which significantly affected the history of ancient
Greece. Supposedly, he overcame a speech defect (stuttering?) by standing on the seashore with pebbles under his tongue and shouting above
the roar of the waves.
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Maybe Demosthenes had the right idea?
Growing up as a severe stutterer, I would hear such
stories almost daily, starting with the legend of
Demosthenes’ pebbles. After trying everything else, I did
attempt to talk with pebbles myself once. I didn’t quite
believe the legend, but I felt I should leave no stones
untried. I almost swallowed the pebbles and quickly
resumed the search for new crutches. (Sheehan)
Should you beware of following everybody’s advice?
Stuttering is a disorder which can be worsened by ill
treatment. Many well-meaning but ignorant individuals, by
their suggestions and reactions, have made the stuttering
not only more difficult to bear but also more severe and
frequent. As in all speech disorders, this one needs special
understanding. (Van Riper)
For years most adults who stutter have received well
meaning suggestions that have been directly or indirectly
aimed at stopping the stuttering altogether. These suggestions imply miraculously quick cures and fluent speech.
Every stutterer grows up with the naive advice of
neighbors and casual strangers ringing uselessly in his
ears. “Relax, think what you have to say, slow down, take a
deep breath, did you ever try to talk with pebbles in your
mouth, etc., etc.”
Stuttering is a complex problem whose nature forever
tempts people to offer simplistic cures. Neighbors and
casual acquaintances usually do not offer advice on treating
cancer or diabetes. But stuttering has a persistence along
with a now-you-see-it-now-you-don’t quality, so it fosters
irresponsible and/or fraudulent claims for every solution.
Simplistic “cures” abound, and the history of medicine is
littered with them. Even intelligent people who should
know better are taken in, and ensnare themselves.
(Sheehan)
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Should you explain stuttering to others?
Sometimes it is helpful to explain something about your
stuttering to people who are important to you. This person
might be a parent, teacher, friend, employer or a fellow
worker. You might explain, for example, how you like to be
treated by your listener when you are stuttering. The
purpose of this is to make you and the people you speak
with more relaxed concerning your stuttering. If you feel
that a person understands your stuttering, you are likely to
stutter less to that person. An open and honest attitude is
healthy for all people involved. (Trotter)
A reason to become a “professional stutterer.”
At about this time I began my training as a speech
pathologist and embarked upon a career, as my wife and
children tell friends, of being a “professional stutterer.” By
the way, I’ve always noticed that when my wife tells some
person “Hugo is a professional stutterer,” the person looks
somewhat perplexed as if to say, “Does he stutter?” or, “Why
do you mention it?” The point is we should be very open
about our stuttering. I found out very early that this attitude is an important ingredient in therapy. (Gregory)
Can you change?
“The leopard can’t change his spots.” If you are in the
habit of thinking and saying things like that, you are likely
to tell yourself also “once a stutterer always a stutterer”—
you might then go on to the depressing thought that there’s
really no hope for you.
Or if there is, there is the wishful hope that somewhere
sometime you will be lucky and find someone who will take
away, or drive away, what you have and transform you, as
though by sorcery, from the stutterer you are into the
normal speaker you long to be one day.
Such wishfulness makes for dreams, particularly daydreams, about magical potions in the form of pills, or secret
or mysterious methods that can work wonders. It does not
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encourage you to face up to the problem yourself and do
something constructive about it here and now by your own
efforts.
What you have learned to do that keeps you from speaking better than you do, you can unlearn. (Johnson)
Does recovery take long?
Recovery is going to be a long gradual process. (Murray)
If the stutterer is going to change radically his accustomed manner of stuttering, he must work persistently and
diligently over a long period of time. (Johnson)
Licking the problem of stuttering, mastering your own
mouth, takes time; it cannot be accomplished overnight.
How long will it take you I cannot say, for no two stutterers
approach the challenge in the same way or move at the
same rate but all have in common a beckoning mirage
luring them ahead. (Emerick)
A memorable experience.
One score and seven years ago, in a desperate attempt
to cure their son’s chronic speech problem, my parents spent
their meager savings to send me to a commercial school for
stammering. Alas, to their dismay and my deepening feeling of hopelessness, it was just another futile attempt.
While I rode woefully toward home on the train, a kindly old
gray-haired conductor stopped at my seat and asked my
destination. I opened my mouth for the well-rehearsed
“Detroit” but all that emerged was a series of muted
gurgles; I pulled my abdominal muscles in hard to break the
terrifying constriction in my throat—silence. Finally, the old
man peered at me through his bifocals, shook his head, and
with just the trace of a smile, said, “Well, young man, either
express yourself or go by freight.”
The conductor had shuffled on down the aisle of the
rocking passenger car before the shock waves swept over
me. Looking out the window at the speeding landscape
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through a tearful mist of anger and frustration, I felt the
surreptitious glances of passengers seated nearby; a flush of
crimson embarrassment crept slowly up my neck and my
head throbbed with despair. Long afterwards I remembered
the conductor’s penetrating comment. For years I licked
that and other stuttering wounds and nursed my wrath to
keep it warm, dreaming that someday I would right all
those unrightable wrongs. But in the end his pithy pun
changed my life. The old man, incredibly, had been right.
(Emerick)
How well did King George VI of England speak in
his radio broadcasts?
One of the people whose activities I followed closely was King George VI of
England. I tuned in to his first Christmas
broadcast with considerable excitement,
because I had heard that he was a stutterer.
Even though pre-recording was beginning to
be available in those days, he had chosen to
make his speech a live one.
I got the BBC at the right time and
King George VI
heard, through the static, “Ladies and
Gentlemen, His Majesty, King George VI.” He started without difficulty, but then his speech began to be more and
more labored. He paused between words, first briefly and
then the spaces grew longer. I could sense from the rhythms
that a block was coming; and I held my breath waiting for
it. There was one long silence, brief sounds of vocal struggle,
and then quick repetitions out of which burst the word. This
happened several times during that early broadcast.
In spite of his impediment, King George continued to
speak publicly. He inspired his country when it needed him
most. I heard him declare war on Germany. He was so emotional he could hardly speak, and yet his message was clear.
Although he was never completely free of all traces of
stuttering, King George’s speech improved enormously
during his reign. His speeches were carefully pruned so that
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he wouldn’t have to say words that usually caused him to
block. His final illness began to sap his strength, and he
stuttered considerably in his Christmas broadcast that year.
(Murray)
About how much would it cost to engage the services of a professional speech therapist—a specialist in stuttering—to help you work on your speech?
Private practitioners charge from sixty to one hundred
and fifty dollars per hour. Most often the fee will be
seventy to eighty-five dollars an hour. Total cost could be
from one to several thousand dollars. Of course, in the
case of short term treatment such as that described for
some children beginning to stutter, it could be less.
University clinics where students are being trained or
publicly supported institutions charge on a sliding scale
according to ability to pay, and the therapy will be less
expensive. For example, the range might be from twenty
to eighty dollars an hour.
You should be satisfied with progress as therapy proceeds and feel free to inquire about the prognosis and
costs. Health insurance policy coverage of stuttering
therapy varies. You should consult with your agent and
request that the speech clinician send reports or any other
required information to the company.
For more information on how to find a therapist and on
how to deal with insurance claims, call the Stuttering
Foundation toll free number, 1-800-992-9392, or visit
www.stutteringhelp.org.
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Boyhood recollections…
What I remember most acutely about my stuttering is
not the strangled sound of my own voice, but the impatient
looks on other people’s faces when I had trouble getting a
word out. And if their eyes happened to reflect some of the
pain and frustration I was feeling, that only made me more
uneasy. There was nothing they could do to help me, and
I certainly didn’t want their sympathy. I was nine or ten at
the time.
Like most people with a stuttering problem, I had
already learned to live by my wits in a way that normally
fluent people cannot begin to appreciate. Whenever
I opened my mouth, I mentally glanced ahead at the
sentence I wanted to say to see if there was any word I was
likely to stutter on.
For me, speaking was like riding down a highway and
reading aloud from a series of billboards. I knew that to
speak normally I had to keep moving forward at a steady
pace. Yet every once in a while I became aware of an obstacle, like an enormous boulder, blocking the road some five or
six billboards ahead of me. I knew that when I got to that
particular word I would be unable to say it. I never figured
out why I stuttered on one word rather than another.
Some sounds—like the “m” sound at the beginning of a
word—were particularly troublesome; but, even with these,
the context was all-important. A sentence might have two
words beginning with “m,” such as “I’ll have to ask my
mother.” The moment I framed this sentence in my mind,
I knew that I would have no trouble pronouncing “my” but
that “mother” would be impossible. My usual strategy at
such times was to speed up and try to crash through the
obstacle. When I succeeded, the sentence came out like this:
“I’ll (pause for deep breath) havetoaskmymother.”
This trick worked just often enough to convince some
people that I stuttered because I talked too fast. But when
it failed I found myself struck dumb in midsentence, unable
to go forward or turn back. There were times when I got as
166
far as the first sound in the difficult word and could do nothing but repeat it like a broken record, in the classic stutter
that is imitated—usually for laughs—in books and movies.
More often, I had a complete block; I would try to form the
first sound in the word and something inside me would snap
shut, so that if I opened my mouth nothing came out.
At that point, I usually backed up and looked for a detour.
Sometimes all I had to do was find a less
troublesome word that meant the same
thing. For example, I might be able to get
away with something like “I’ll have to
check with my folks.” If I couldn’t think of
a synonym quickly enough, I had no
choice but to rephrase the sentence, to try
to sneak up on the difficult word from
another direction; the result might come out as… “You know
how mothers are, I better ask her first.”
I didn’t have the slightest idea why the same word
should be easier to say in one context than in another, but
whenever it worked out that way I felt absurd pride in my
accomplishment; no one else knew that in order to speak
with any fluency I had to become a kind of walking
thesaurus. But the strategies of substitution and circumlocution created their own problems. The farther I strayed
from the original wording of the sentence, the more I had to
guard against letting subtle changes of meaning creep in.
If I wasn’t careful, I could find myself saying things
I didn’t quite mean, just to be able to say something. In a
way, my situation was not so different from that of a writer
in a totalitarian country who tries to communicate under
the constant threat of censorship. The fact that I carried the
censor around inside my head did not make the situation
any less oppressive.
(This last quotation comes from the book “Stuttering, The Disorder of Many
Theories” by Gerald Jones, published by Farrar, Straus & Giroux.)
167
Some Final Thoughts about Stuttering
Having recently experienced congestive heart failure and informed that
I should put my affairs in order, I find
an urge to summarize what I have
learned about stuttering in 85 years.
When I was a youth of sixteen I
swore an oath to a birch sapling that I
would devote my life to finding the cause and cure of
stuttering. Decade after decade I returned to that tree and
confessed I had found neither. That birch tree died a long
time ago but if it were still living I would have to say the
same thing today.
I have known thousands of stutterers and have studied
the disorder in them and in myself. I have done research and
written much about the disorder. I have read most of the
world literature. I have explored most of the different kinds
of treatment, have helped many to untangle their tongues,
and have failed to help others. What then are my final
conclusions about stuttering? I believe:
• That stuttering is essentially a neuromuscular disorder
whose core consists of tiny lags and disruptions in the
timing of the complicated movements required for speech.
• That the usual response to these lags is an automatic part
word repetition or prolongation.
• That some children, because of heredity or as yet unknown
brain pathology, have more of these than others do.
• That most children who begin to stutter become fluent
perhaps because of maturation or because they do not
react to their lags, repetitions, or prolongations by
struggle or avoidance.
168
• That those who do struggle or avoid because of frustration
or penalties will probably continue to stutter all the rest of
their lives no matter what kind of therapy they receive.
• That these struggle and avoidance behaviors are learned
and can be modified and unlearned though the lags
cannot.
• That the goal of therapy for the confirmed stutterer should
not be a reduction in the number of dysfluencies or zero
stuttering. Fluency-enhancing procedures can easily
result in stutter-free speech temporarily but maintaining
it is almost impossible. The stutterer already knows how
to be fluent. What he doesn’t know is how to stutter. He
can be taught to stutter so easily and briefly that he can
have very adequate communication skills. Moreover,
when he discovers he can stutter without struggle or
avoidance most of his frustration and other negative
emotion will subside.
Have I anything more to say? Yes, that I still have hope
that sooner or later others will fulfill the vow I made to that
birch tree. Meanwhile I wish to testify that it is possible to
live a happy and useful life even though you stutter.
Charles Van Riper
169
For more information about stuttering:
Advice to Those Who Stutter, 2nd Edition
Offers practical advice written by twenty-eight men and
women speech pathologists who themselves stutter,
advising what helped them and what they believe will
help anyone who stutters control his or her difficulty.
advice to those
who stutter
116 pages
STUTTERING
FOUNDATION
OF A MERICA
PUBLICATION NO. 9
If Your Child Stutters:
A Guide for Parents, 7th Edition
An authoritative and understandable book for parents.
Contains examples of what to do to help the disfluent
child. Can be used as a supplement to clinical advice.
64 pages
Translated versions also available:
Spanish: Publication No. 0015
French: Publication No. 0017
Do You Stutter: A Guide for Teens, 4th Edition
Because you are a teen and because you sometimes
stutter, some problems are uniquely yours. This book is
written to and for you in the hope of helping you solve
some of these problems. Each chapter is written by a
specialist in the field of stuttering.
80 pages
Stuttering and Your Child:
Questions and Answers, 3rd Edition
For parents, teachers and all those wanting to help the
child who stutters. Is often used as a supplement to
clinical treatment. Written by seven leading authorities.
Publication No. 0022 64 pages
Spanish Version No. 0027
Sometimes I Just Stutter
A book for children between the ages of 7 and 12. This
new book has information on teasing, letters to family
members and teachers, why stuttering varies day to
day, and a wealth of other information.
Publication No. 0031 40 pages
Spanish Version No. 0032
170
Glossary
Many speech pathology words are listed in this glossary
which are not used in the book. These are inserted for the
education of readers who may not be familiar with the
meanings of expressions frequently used in books about
stuttering.
accent. The components of increased stress, loudness, or emphasis placed on
certain syllables in a word, or group of words. Accent may also be related to
linguistic stress and “dialect.” (See prosody.)
acceptance approach. Based on the hypothesis that although stutterers
may not have a choice as to whether or not they stutter, they do have a choice
as to how they stutter. Accordingly, stuttering can be fully accepted, since it is
possible to stutter in a variety of ways, including fluent stuttering.
accessory behaviors (secondary behaviors or symptoms). The abnormal
actions and behaviors exhibited by the stutterer in attempting to avoid and/or
escape from the core behaviors of stuttering. Avoidance behaviors include such
things as pausing, postponing, using gestural timing devices or verbal starters,
and trying to disguise the stuttering. Escape behaviors used to interrupt the
stuttering and gain release from moments of stuttering include movements such
as eye blinks, arm swinging, grimaces, head and jaw jerks, finger snapping,
throat clearing and hand/finger tapping, etc.
acquired stuttering. Neurogenic-Acquired Stuttering: As differentiated from
“developmental stuttering,” this refers to the stuttering-like behaviors in children,
adolescents or adults following damage to the central nervous system (CNS) in
persons who have no prior history of stuttering. The onset of neurogenic (acquired)
stuttering is usually sudden. Causes include head trauma, stroke, anoxia, tumor
and drug use. Often co-occurs with features found in aphasia, and dysarthria.
Psychogenic-Acquired stuttering: As differentiated from “developmental
stuttering,” this has been used to refers to stuttering acquired during adulthood
which is at least partially a post-stress response to chronic or acute psychological disturbances in persons who have no prior history of stuttering. It has also
been used to refer to document cases of stuttering associated with a conversion
reaction. The onset of psychogenic (acquired) stuttering is usually sudden, and
related to significant events associated with extreme psychological stress.
adaptation effect. A temporary reduction in the frequency and/or severity of
stuttering behaviors resulting from repeated oral readings of the same or highly
similar verbal material. Adaptation is sometimes measured in terms of the
observed frequency of stuttering during successive readings of the same passage.
171
In addition to a reduction in the frequency of stuttering there is often a concomitant reduction in associated effort (tension-struggle) and duration of moments of
stuttering.
adjacency effect. During repeated oral readings of the same material,
when the previously stuttered words have been omitted from the passage,
there is a tendency for stuttering to occur on words that are adjacent to
where stuttering previously occurred during the earlier readings.
advertising. Clinical programs that emphasize helping the stutterer learn to
cope with stuttering and become desensitized to stuttering ask the client to
advertise his stuttering by doing a lot of voluntary stuttering in public.
affective reactions. Affective reactions are the feelings and emotions that the
stutterer experiences during the time period before, during, and after the
moment of stuttering. Affective reactions also appear to be related to feelings of
denial and/or avoidance. Prior to stuttering the person may experience anticipation and apprehension ranging from minimal awareness up to devastating fear
and panic; during the moment of stuttering there may be a sense of detachment
and confusion or “mental blankness” and a lack of “contact with the self.”
Following release from the moment of stuttering there may be feelings of shame,
guilt, embarrassment and feelings of anxiety over the fact that stuttering may
occur again.
airflow management. A clinical approach wherein the stutterer attempts
to integrate a long, relaxed, passive sigh with the slow initiation of the first
syllable of a word in order to maintain air flow by reducing tension and
pressure within the vocal track.
anticipatory behaviors. Those behaviors in which the stutterer engages in an
attempt to avoid, disguise or otherwise prevent stuttering.
anticipatory emotions. Those anticipatory feelings, emotions or attitudinal
reactions that result from the stutterer’s dread of feared sounds, words,
situations or interpersonal relationships.
anticipatory struggle. The anticipatory-struggle hypothesis, which permits a
wide array of etiological possibilities, suggests that stuttering involves both the
prior anticipation and expectation that speech is a difficult task to perform, as
well as the tensions, fragmentations and struggle (effort) associated with
attempts to gain release from the moment of stuttering itself.
aphasia. The partial or complete loss of the receptive and/or expressive use
of language as a result of damage to the central nervous system. Persons
suffering from expressive aphasia (e.g., nonfluent aphasia) frequently have
problems maintaining speech fluency, but this is considered a fluency
disorder which is different from stuttering. These patients frequently experience word finding and word retrieval problems and often compensate for this
difficulty with word substitutions and circumlocutions.
approach-avoidance conflict. This term describes the conflict which the stutterer experiences as he approaches a feared word or situation. His desire for
avoidance of verbal difficulty struggles for mastery against his desire for speak-
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ing, and the conflict may be expressed overtly in stuttering behaviors that interfere with speaking. The stutterer is caught in a conflict where he wants to talk
and communicate but wants to avoid stuttering: at the same time, he wants to
not stutter, but not abandon communication.
approximation. As used in operant conditioning and learning, the reward or
positive reinforcement given to productions that come progressively or successively closer and closer to the desired target. In stuttering, this is used to refer
to deliberate attempts on the part of the stutterer to speak in a manner that
comes successively closer and closer to the desired target.
articulation. Literally, a joining: in speech, the utterance of the individual
sounds of speech in connected discourse; the movements during speech of the
organs that modify the stream of voiced and unvoiced breath in meaningful
sounds: The speech function performed largely through movements of the
mandible, lips, tongue and soft palate.
auditory feedback. As related to the self-monitoring of one’s own speech
through self-hearing. (See feedback, delayed auditory feedback.)
avoidance behaviors. Actions or patterns of behavior which the stutterer uses
in trying to avoid difficulty. These include abnormal variations employed such as
postponements, word substitutions, circumlocutions, vocalized or nonvocalized
pauses, or the complete refusal to speak. Such maneuvers usually tend to
increase any fear of difficulty the stutterer may have. Unlike the escape
behaviors that occur during the moment of stuttering itself in an attempt to
permit release, avoidance behaviors occur prior to the moment of stuttering in
an attempt to totally prevent its occurrence.
behavior modification. A general term for any of a variety of clinical procedures based on learning theory and conditioning principles. Such procedures are
used both to modify the disruptive negative emotional responses of the stutterer
to words and situations, and to reduce the maladaptive avoidance and escape
behaviors that confirmed stutterers tend to display.
between-word disfluencies. Listeners make perceptual judgments of
disfluency and stuttering, and sometimes it is helpful to determine whether
disfluencies occur within words or between words. Within word disfluencies such
as sound or syllable repetitions, prolongations, disrhythmic phonations and tense
pauses are more apt to be considered “stuttered” and represent a greater danger
sign than disfluencies that occur in between words such as interjections, revisions,
phrase repetitions and multisyllabic whole-word repetitions.
biofeedback. The measurement of physical activity and the display of this
activity to the user in real-time so that the person can develop awareness and
control of the activity. Some clinical programs make use of biofeedback to help
the stutterer modify the activities needed for fluent speech production: e.g.,
respiration, phonation and articulation.
blending. A technique in which the stutterer gradually shifts from one part of
the sound or syllable into the next.
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block. One of several types of stuttering in which the fixation (closure) is total.
The flow of speech is obstructed completely at any one, or several locations:
larynx, lips, tongue, etc. The abnormality is perceived by the listener through
visual awareness that the person is attempting to speak, even though little or
no sound is heard. Some people use this term to refer to any type of stuttering
moment. (See tonic block: clonic block.)
bounce. A stuttering pattern in which there are voluntary repetitions, usually of
the first syllable of the word, as in “base-base-base-ball.”
cancellation. The technique used in therapy of responding to the occurrence
of a moment of stuttering by a deliberate pause followed by a second attempt
on the word in which a different and more fluent form of stuttering is used. This
consists of coming to a complete halt after the stuttered word has been finally
uttered, pausing a moment and then attempting to say the word again with less
struggle and avoidance. This does not imply that on the second trial the stutterer is to be fluent; rather, he should attempt a modified and easier form of
stuttering. This procedure is called post-block correction by some clinicians.
carryover. Procedures designed to assist the stutterer in transferring and
maintaining newly learned speech therapy techniques to everyday situations.
classical conditioning. A form of conditioning in which a previously neutral
stimulus is paired with an unconditioned stimulus. In time, the neutral
stimulus becomes conditioned, and elicits a conditioned response which is
similar to the unconditioned response originally elicited by the unconditioned
stimulus. (Synonyms: Pavlovian conditioning, respondent conditioning, reflex
conditioning.) (See conditioned stimulus.)
clinician, (speech-language). See speech-language pathologist.
cluttering. A disorder of both speech and language processing that frequently
results in rapid, disrhythmic, sporadic, unorganized, and often unintelligible
speech. Additional problems include repetition of sounds, syllables, words and
phrases, false starts and revisions, sequencing errors, word retrieval problems,
run-on sentences and the excessively fast and irregular production of syllables.
Persons who clutter usually have great difficulty with self-monitoring.
conditioned response. After the repeated paring of a neutral stimulus with
an unconditioned stimulus, the neutral stimulus becomes a conditioned
stimulus, and elicits a conditioned response.
conditioned stimulus. A previously neutral stimulus, after contiguous pairing
with an unconditioned stimulus, takes on properties similar to the original unconditioned stimulus and has the ability to elicit a conditioned response that is
similar to the original unconditioned response.
conditioning. The process of acquiring, establishing, learning, modifying, or
extinguishing behavioral and/or emotional responses. Forms of conditioning
include: classical (Pavlovian, respondent, reflex) conditioning; counter
conditioning; operant (Skinnerian, instrumental) conditioning; vicarious
conditioning; deconditioning. When a response that formerly occurred only
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rarely or not at all is “conditioned” to occur more frequently, learning is
assumed to have taken place, provided that the change is relatively long lasting. Conditioning may occur by chance, or by conscious manipulation of
antecedent stimuli and/or contingent consequences.
consonant. A conventional speech sound other than a vowel, and characterized
by constriction or total closure at one or more points along the vocal tract. Can
be voiced or unvoiced.
constitutional origin. The theory that some stutterers possess, or possessed
at the time of onset, a “physical or genetic difference,” or malfunctioning of the
nervous system, which was sufficient to create, under stress, disruptions in the
fluent flow of speech.
continuous phonation. As a means of maintaining fluency, some
clinicians suggest that the stutterer maintain voicing throughout the production
of the utterance. This produces an effect whereby the duration of the sounds and
syllables is increased by degrees that can range from minimal to extreme.
A similar effect can result from the use of Delayed Auditory Feedback.
core behaviors (core features). Most researchers and clinicians
differentiate between the core features of stuttering and the accessory (secondary)
features that develop as a means of avoiding and/or escaping from the core
features. Core features are generally thought to include the repetition of sounds,
syllables and single-syllable words; the vocalized and nonvocalized sound prolongation, and complete stoppages due to tense pauses, hard contacts and silent
blocks. In the early developmental stages of stuttering these “core features” are
easy, effortless and relaxed: later, however, they coexist with accessory behaviors
when they are accompanied by effort, tension, and struggle.
covert features. Unlike the overt behaviors of stuttering which can be seen
and/or heard and are relatively easy to measure in terms of their frequency,
intensity, duration, and type, the covert behaviors are not openly shown and less
easily determined. They include such cognitive and emotional factors as fear,
anxiety, negative emotion, shame, guilt and frustration, etc. These “concealed or
invisible” features are often difficult to determine. (See interiorized stuttering.)
delayed auditory feedback (DAF). When speaking under conditions of
delayed auditory feedback, we hear what we have said a short time after we
have said it. Most normally fluent speakers become highly disfluent when
exposed to DAF and many stutterers experience decreased stuttering under
DAF. DAF can also be used clinically both to help establish fluency as well as
control/modify the stuttering.
Demands and Capacities Model. This model states that stuttering is likely
to occur when demands for fluent and continuous speech exceed the child’s
capacities to perform at a level required by these demands. Factors that affect
fluent speech include (1) motoric coordination, (2) linguistic ability, (3) social and
emotional functioning, and (4) cognitive development. Clinically, attempts are
made to reduce demands placed upon the child and increase the child’s capacities for dealing with them.
175
desensitization. Desensitization generally takes place at two levels: emotional
and behavioral. Emotionally, desensitization therapy attempts to help the client
feel increasingly relaxed and comfortable in situations that previously were
associated with fear, anxiety and other forms of negative emotion. Behaviorally,
desensitization attempts to help the client tolerate periods of physical tension
during moments of stuttering accompanied by tension and struggle. To accomplish desensitization, stutterers are often exposed to a hierarchy of increasingly
stressful situations where they work to remain calm and relaxed in activities
such as voluntary stuttering, pseudo-stuttering or faking.
developmental disfluencies/developmental hesitations. The developmental repetitions, prolongations and stumblings in the speech of children
learning to talk. In the natural development of speech, while learning to talk,
most children’s speech is marked by effortless developmental hesitations to some
extent. Included in this category are word and phrase repetitions and such accessory vocalizations as the Interjection of “um” and “ah.” These “normal developmental” hesitations are particularly common during times of linguistic stress,
which is a part of language learning, and situational stress under conditions of
situational and interpersonal difficulty.
diagnosogenic theory. The theory that “stuttering” as a clinical problem and
as a definite disorder, was found to occur not before being diagnosed but after
being diagnosed. According to this theory, the problem of stuttering arises when
a listener, usually a parent, evaluates or classifies or diagnoses the child’s
developmental hesitations, repetitions, and prolongations as stuttering, and
reacts to them as a consequence with concern and disapproval. As the child
senses this concern and disapproval he reacts by speaking more hesitantly and
with concern of his own, and finally, with the tensions and struggle involved in
efforts to keep from hesitating or repeating.
disflyency (dysfluency). Used interchangeably by some clinicians and differentially by others. Some feel that the prefix “dys-” should be used where there is
reasonable suspicion of “organicity” to warrant the more medical terminology.
The prefix “dis-” is used to denote mislearning and more psycho-emotional components. Other clinicians opt for the term “nonfluency.” In any event, the terms
refer to speech which is not smooth or fluent. All speakers talk disfluently at
times; i.e., they hesitate or stumble in varying degrees. All stutterers are
disfluent, but not all disfluency is stuttering. For instance, “disfluency” could
describe the developmental hesitations of a child learning to talk, or the
disrhythmic breaks in the speech of an adult. Other disfluencies are associated
with neuropathology such as the speech characteristics associated with
apraxia, parkinsonism, multiple sclerosis, myesthenia gravis and others.
distraction. The diversion of attention: filling the mind with thoughts of other
things so that the expectancy of stuttering is minimized. Keeping the anticipatory emotions of stuttering from consciousness, thus temporarily affecting
release from fear of stuttering and the act of stuttering.
dysphonia. Impairment of the voice, manifested by hoarseness, breathiness or
other defects of phonation due to organic, functional or psychogenic causes.
176
easy onset (gentle onset). Starting the voicing of a sound, syllable or word at
a slow, smooth rate. The duration of each syllable within a word is stretched for
up to two seconds. The easy onset is relaxed, and produced without effort: also
referred to as gentle onset.
escape behaviors. The behavioral reactions of a stutterer to release, interrupt or
otherwise escape from a moment of stuttering. Since escape behaviors allow
release from the unpleasant, aversive or noxious stimulus of stuttering, they are
negatively reinforced and tend to persist.
extrovert. A person whose attention and interests are largely directed toward
what is outside the self; one primarily interested in social or group activities and
practical affairs; contrasted with “introvert.”
eye contact. Looking the listener in the eye while talking to him. Generally a
natural, although not a constant interaction, of the speaker’s eyes with the
listener’s eyes. Maintaining eye contact is considered a technique in stuttering
therapy recommended to help the stutterer combat feelings of shame,
embarrassment or inadequacy.
fear. The apprehension of unpleasantness which arises when the stutterer
consciously perceives situations which lead him to anticipate difficulty talking.
This fear of difficulty may be and often is intense. It can and sometimes does
temporarily paralyze thought and action. Stuttering is usually relatively
proportionate to the amount of fear present. Stuttering fears may be of persons,
of sounds or words, or of situations such as talking in groups or on the
telephone, etc.
feared word/feared sound. This term refers to a word or sound upon which
the stutterer anticipates difficulty. Stutterers frequently attempt to avoid feared
words and sounds by word substitutions, circumlocutions or paraphrasing the
utterance.
feedback. The process of modifying one’s own responses based on either
internal or external cues. Returning a portion of the output of a transmitted
signal as input for self regulation. The reinforcing effect of the stutterer’s
auditory or proprioceptive perceptions of his own speech. (Also see corrective
feedback and delayed auditory feedback.)
fixation. The maintenance of an articulatory or phonatory posture for an
abnormal duration; the temporary arresting of the speech muscles in a rigid
position. The airway is abnormally constricted, but not completely blocked.
Fixations typically result in the production of sounds which may be both
audible and vocalized (vvvvvine) or audible but not vocalized (fffffine.)
fluency. Fluent speech involves the ability to talk with normal levels of continuity,
rate, rhythm and effort. Fluency involves the smoothness with which units of
speech (sounds, syllables, words, phrases) flow together. Fluent speech flows easily
and is usually made without effort. Abnormally broken, slow, or effortful speech is
not fluent.
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fluency shaping. Fluency shaping therapy is usually based on operant
conditioning and programming principles; e.g., breath stream management,
successive approximations, reinforcement of fluency targets such as fluency
enhancing behaviors, etc. Some form of fluency is first established in a
controlled stimulus situation. This fluency is reinforced and gradually
modified to approximate normal conversational speech in the clinical setting.
This speech is then transferred to the person’s daily speaking environment.
frustration tolerance. The capacity of the stutterer to resist feelings of
frustration because of his inability to speak without difficulty; the ability to put
up with or endure the communication handicaps resulting from not being able
to talk freely.
genetic. Inherited, as determined through genes, but not necessarily congenitally present at birth. Some persons believe that stuttering, or at least some
stuttering subtypes, may have an etiologic (causative) basis in genetically
inherited traits, tendencies or predispositions.
group therapy. The counseling of and among stutterers in a group, including
the use of speech within such a social situation. The interchange of feelings,
ideas and discussions about stuttering problems in a group gives the
stutterer emotional release and helps him to develop better insights and
understanding through a knowledge of how others react to their problems.
hard contact. The result of tightness or tension in the muscles of the tongue
and/or lips and/or jaw, etc., when the stutterer fears and attempts to say plosive
consonant sounds such as p, b, t, d, k, g.
in-block correction. This refers to a process the stutterer goes through to
correct the production of a stuttered word while he is stuttering on it. See
pull-out.
incidence. The incidence of stuttering refers to how many people have stuttered at some time in their lives. Although researchers have used different
methodologies to gather these data, and since they have used slightly different
definitions of stuttering, it is estimated that about 5% of the population have
experienced periods of stuttering lasting longer than six months. Estimates of
incidence, inclusive of children who may have evidenced periods of stuttering
lasting for only a short time period, are as high as 15%. (See prevalence.)
inhibition. Restraint on one’s ability to act by either conscious or subconscious
processes: the partial checking or complete blocking of one impulse or mental
process by another nearly simultaneous impulse or mental process. The fear of
stuttering tends to inhibit the stutterer’s impulse or desire to speak.
introvert. An inward oriented personality; one who prefers his own thoughts
and activities to association with others; one primarily interested or preoccupied
with self. Contrasted with extrovert.
labial. Pertaining to the lips; speech sounds requiring the use of the lip or lips
such as “p, m, f, v.”
178
larynx. The primary source of phonation resulting from vocal fold vibration; the
“voice box” which houses the vocal folds. Located at the top of the trachea, below
the bone or bones which support the tongue and its muscles.
laterality theory. Refers to the theory that a shift in handedness or confused
cerebral dominance is a factor in the cause or in the maintenance of stuttering.
According to this theory, the use of the non-preferred hand in written and other
skilled activities contributes to a cerebral instability affecting speech control
in such a way as to generate stuttering. Laterality theory refers to insufficiently established dominance of one cerebral hemisphere over another.
learned behavior. Any relatively permanent change in a person’s behavior
resulting from his reaction to or interaction with environmental influences or
from reinforced practice: an acquired neuro-muscular, verbal, emotional, or other
type of response to certain stimuli.
light contact. Loose, relaxed or non-tense contacts of the lips and/or tongue on
plosive sounds. Contacts of the lips and/or tongue which are optimal for the
production of speech sounds as contrasted to the hard, tense contacts which are
often a part of a stuttering pattern.
maintenance. In stuttering usually refers to the continuation of improvement
as related to the effectiveness of treatment. Procedures for keeping a desired
learned behavior at a high level of frequency, e.g., procedures for preventing
relapse.
masking. An interference with perception of a sound or pattern of sounds by
simultaneously presenting another of a different frequency, intensity, quality, or
pattern to one or both ears of the subject. Masking is usually presented via head
phones and is used to interfere with the stutterer’s perception of his own voice.
The usual effect, especially at sufficiently high levels of loudness, is increased
fluency.
modifying the stuttering pattern. Refers to the stutterer changing what he
does when he stutters. Clinicians suggest that the stutterer can deliberately
change his stuttering behavior and learn to stutter in an easier manner. Clinical
emphasis is reducing the overall severity of the stuttering rather than replacing
it with fluent speech. In so modifying his stuttering pattern he learns to change
his way of speaking and develop a style of talking which is less abnormal and free
of excessive tensing. A basic fact revealed by laboratory and clinical studies is that
the behavior called stuttering is modifiable. (See slide, pull-out, proprioceptive
monitoring, easy onset, cancellation, preparatory set.)
monitoring. A self-observation technique in which the stutterer seeks to
become highly aware of the articulatory movements of his speech, as well as
other behaviors which make up his characteristic and habitual pattern of
stuttering. This would include continuous self-observation of the crutches and
tricks he uses in his act of stuttering.
monotone. Voice characterized by little or no variation of pitch or
loudness.
179
neurosis. A personality disorder generally characterized by anxiety, phobias,
obsessions or compulsions which are irrational but nevertheless real to the
possessor, and which are probably caused by interpersonal conflict. There is
no gross personality disorganization, and there may not be any behavioral
manifestations. Neurosis is a mental disorder that prevents the victim from
dealing effectively with reality.
objective attitude. Referring to the attitude that it is desirable for the
stutterer to have toward his stuttering; a feeling relatively independent of
one’s personal prejudices or apprehensions and not distorted by shame or
embarrassment; the acceptance of his stuttering as a problem rather than
a curse.
onset. The onset of stuttering usually occurs during childhood, with some cases
of developmental stuttering occurring up through the time of puberty. The
median age at onset is at about age four. Onset occurring after puberty is
usually attributable to extreme cases of physical or psychological trauma.
operant conditioning. The process by which the frequency of a response may be
changed as a result of controlling its consequences. There are a variety of
procedures in which a clinician can arrange for contingent stimulation to occur
following a response. If the consequence is positive, the response (acquisition)
should increase in frequency; if the consequence is negative, the response should
decrease (extinction). This process is often theorized to be the way in which the
voluntary behaviors of avoidance and escape are learned. Behaviorists consider
this as the basic strategy for achieving behavior change. (Synonym: instrumental
conditioning, Skinnerian conditioning.) (See conditioning.)
oscillation(s). In stuttering, the tremorous vibrations or repetitions of speech
muscle movements temporarily interfering with ongoing speech, as opposed to
the fixation or prolongation of an articulatory sound or posture.
overt behavior. Clearly visible and/or audible behavior. The opposite of covert.
pantomime. The art of conveying a thought or story by expressive bodily
movements. As part of cancellation, some clinicians ask the stutterer to
pantomime the moment of stuttering in order to identify its components and aid
in desensitization.
phobia. An excessive and objectively inappropriate degree of fear or dread.
An anxiety reaction that is focused on a particular object or situation.
phonation. Vocalization; the act or process of producing voice; production of the
voiced sounds of speech by means of vocal fold vibration.
pitch. The listener’s perception of the highness or lowness of sounds depending
on the frequency of the vocal fold vibrations.
play therapy. The use of play activities in psychotherapy or speech therapy
with children, in which the child is given opportunities, within defined limits,
for the free expression of socially or personally unacceptable feelings in the
presence of an accepting therapist. In individual play therapy sessions the
therapist may observe the child as he plays with materials (such as puppets,
180
clay or toys) permitting him within reason to freely express emotional
feelings and conflicts for purposes of catharsis or insight.
plosive. A speech sound made by impounding the air stream momentarily until
pressure has been developed and then suddenly released, as in “p,b,t,d,k,g.”
post-block correction. This is a process the stutterer goes through to correct the
production of a stuttered word after he has stuttered on it. See cancellation.
postponement behaviors. Any behavior or technique used to avoid stuttering
by pausing, delaying or stalling the attempt to produce a feared sound or word in
the hope that the fear will subside enough to allow production.
pre-block correction. This is a process the stutterer goes through to prepare
to produce a word on which he expects to stutter. See preparatory set.
preparatory set. The anticipatory response to the conditioned stimuli of an
anticipated act of stuttering. The covert rehearsal behavior of the stutterer
which he uses in getting ready for the difficulty which he anticipates. This
procedure is called the pre-block correction by some clinicians.
primary stuttering. The label sometimes used to describe the speech of a young
child when it is marked by repetitions and/or hesitations or prolongations which the
observer regards as abnormal, but which do not seem to embarrass the child nor
does the child seem to feel that these disfluencies constitute a difficulty or abnormality. Such disfluent speech occurs during the growth and development of the
child’s ability to talk and may be observed to increase when the child is under
certain kinds of emotional or communicative or linguistic stress. Many clinicians
protest labeling such speech as stuttering, although it may be the beginning stage
of a stuttering problem.
prolongation. As related to stuttering, the involuntary lengthening or
prolonging of vocalized speech sounds (rrrrunning, aaaapple), or nonvocalized
sounds (sssseven, ffffourteen). Sometimes refers to prolongation of an articulatory position, as when the person stops completely and holds his mouth
in the position to say “p<pause>icture.” Prolongations are frequently accompanied by increases in loudness and/or pitch.
As related to therapy, the easy voluntary prolongation of sounds and
syllables on feared and nonfeared words is used quite extensively to modify
the stuttering pattern. (See modifying the stuttering pattern; disrhythmic
phonation.)
pseudo-stuttering. Deliberately faked or false stuttering produced to imitate
difficultly which a stutterer might experience. Sometimes used to aid in
desensitization. (See voluntary stuttering.)
psychotherapy. The treatment of behavioral or emotional problems, such as
stuttering, by counseling, or by reeducating and influencing the person’s
mental approaches and his ways of thinking, or of evaluating his problems; any
procedures intended to improve the condition of a person that are directed at a
change in his mental approach to his problems; particularly his attitudes
toward himself and his environment.
181
pull-out. Based on the hypothesis that it is possible for a stutterer to pull out of
difficulty during a moment of stuttering, this term refers to a voluntarily
controlled, gradual, release from the stuttering moment. In pulling out of blocks,
the stutterer does not let the original blocking run its course. Instead he makes
a deliberate attempt to modify it before the release occurs and before the word
is spoken. This procedure is called in-block correction by some clinicians.
rate control. A technique with which the stutterer attempts to speak slowly
and deliberately, often with each syllable given equal or nearly equal stress. The
extent to which rate control is used to “facilitate fluency” or “repress stuttering”
is highly controversial.
regression. As related to relapse, having more speech difficulty usually as a
result of reverting back to an earlier faulty method of talking.
relapse. Pertaining to regression. See this term.
repetition. The repeating of a sound, syllable, word or phrase. Some clinicians differentiate between repetitions which are vocalized (l-l-lit) and
nonvocalized (f-f-fit), and whether the syllable is correctly co-articulated
(base-base-baseball) or contains the schwa vowel (buh-buh- baseball). Word
repetitions may be of single syllable whole words (he-he-he has it) or words of
more than one syllable (“David-David-David has it.”)
residual air. Generally referred to as the amount of air remaining in the lungs
following exhalation.
rhythm. The overall melody, cadence and flow of speech, as influenced by such
factors as syllable, stress and rate of articulation.
rhythm method. Attempts to help the stutterer speak fluently by altering the
rhythm of speech through such means as singing or speaking in singsong
manner, speaking in time with a regularly recurring rhythm such as to the best
of a metronome, or timing the speech and syllable gestures to an arm swing.
secondary stuttering. As opposed to primary and transitional stuttering,
secondary stuttering is a hesitating or stumbling in uttering words with an
awareness that this way of talking is abnormal and constitutes a difficulty;
speech interruptions plus struggle and accessory behaviors, plus fear and
avoidance reactions.
secondary symptoms. The abnormal actions, behaviors and positions exhibited
by a stutterer in trying to escape speech difficulty. These include movements such
as eye blinks, arm swinging, grimaces, head and body jerks, finger snapping,
clearing the throat, and hand tapping, etc. These refer to the movements which a
stutterer characteristically and abnormally uses when approaching and escaping
from a feared word and when struggling to release himself from the moment
of stuttering. (See accessory behaviors.)
semantics. The scientific study of word meanings.
sensitivity. In the case of stutterers, usually refers to the tendency toward
being easily upset, embarrassed or otherwise easily affected. Feelings of
hypersensitivity may relate to both speech and non speech parameters.
182
situational fears. Concerns regarding certain places or events in which the
speaker expects to have increased stuttering difficulty.
slide. Uttering the different sounds of a syllable with prolonged, slow motion
transitions: moving slowly through the syllable or word. In the slide technique
the stutterer prolongs slightly the initial sound and the transition to the rest of
the word, keeping the release as smooth and gradual as possible, and maintaining sound throughout.
spasmodic (spastic) dysphonia. Persons with spasmodic dysphonia experience intermittent blockages of phonation resulting from spasms of the adductor or
abductor muscles of the larynx resulting in intermittently choked or strangled
production of voice. This has been referred to as “stuttering/stammering of the
vocal cords,” or “laryngeal stuttering.”
speech-language pathologist. A person professionally educated in the assessment, prevention and treatment of disorders of articulation, voice, language and
fluency. Although terms such as speech correctionist, speech therapist and
speech clinician are frequently used, the American Speech-Language-Hearing
Association prefers use of the term Speech-Language Pathologist. Academic
requirements include a master’s degree and the completion of the supervised
clinical fellowship year following formal academic course work, and passing a
national examination.
speech-language pathology. The science or study of normal and
disordered articulation, language, voice and fluency and their diagnosis and
treatment.
stammering. Synonymous with “stuttering.” (British usage.)
starter. Unlike stallers and postponements, starters are used to
initiate or reinitiate forward movement into an utterance. This may involve
the use of a stereotypic phrase such as “well, let me see” or “you know” in
order to get a “running start.”
stress. Psychologically, an emotional and cognitive factor that causes bodily or
mental tension. Physically, as associated with effort, tension or struggle.
struggle behavior. This includes a wide range of secondary or accessory
behaviors performed by the stutterer in attempt to escape from a moment of
stuttering. Devices used to interrupt and release, involving excessive effort,
tension, changes in pitch or loudness, and escape behaviors such as head-jerks,
eye-blinks, arm movements and jaw jerks, etc.
stuttering. Stuttering is a communication disorder characterized by excessive
involuntary disruptions in the smooth and rhythmic flow of speech, particularly
when such disruptions consist of repetitions or prolongations of a sound or
syllable, and when they are accompanied by emotions such as fear and anxiety,
and behaviors such as avoidance and struggle.
183
stuttering pattern. In the case of the individual stutterer, refers to the
particular way he experiences difficulty in talking, or the specific things he does
and the order in which he does these things that interfere with his speaking;
the particular sequence of reactions in his stuttering speech behavior.
syllable. A unit of spoken language consisting of a vowel, usually with one or
more consonant sounds preceding and/or following it; v, vc, cv, cvc, ccvc, etc.
(i.e., v= vowel c=consonant.)
tension. Mental, emotional, nervous or physical strain, often resulting in
unnecessary intensity that disturbs normal functioning of the organs of speech.
therapy. The prevention, early intervention and treatment of any clinically
significant condition such as stuttering.
tic. A sudden spasmodic and purposeless movement of some muscle or muscle
group, particularly of the face, usually occurring under emotional stress.
Possibly organic or psychogenic in origin.
time pressure. At the moment the stutterer is expected to speak he often has
an almost panicky feeling of haste and urgency. He feels he is under “time
pressure” and with no time to lose, and so he has a somewhat compulsive
feeling that he must speak instantly without allowing time for deliberate and
relaxed expression.
transfer. The process of generalizing a newly acquired behavior to new and
different environments: for example, the transfer of improved fluency from the
therapy room to the classroom or to the home or office. Sometimes referred to as
“carry-over.”
tremor. A localized quivering or vibratory motion of a muscle or muscle
group when an articulatory position is suddenly invested with localized
hypertension.
vocal cords. Synonymous with vocal folds. The opening and closing of the vocal
folds is responsible for the production of laryngeal voicing.
voice. Sound produced by vibration of the vocal folds and modified by the
resonators.
voice onset time (VOT). The length of time, measured in milliseconds,
between the onset of an external signal such as a tone or light and the
initiation of phonation.
voluntary stuttering. This may refer to attempts made by the stutterer to
imitate or duplicate as closely as possible, or with specific predetermined
modifications, his usual, habitual, pattern of stuttering. It may also take the
form of easy prolongations or relatively spontaneous and effortless repetitions
of sounds, syllables or the word itself. This style of talking may be used as a
deliberate replacement for the usual stuttering behavior and is intended to
reduce fear of difficulty by voluntarily doing that which is dreaded. This
conscious, purposeful stuttering is also designed to eliminate other avoidance
184
reactions. For the purpose of desensitization some clinicians ask the
stutterer to add tension and struggle to these voluntary stutterings in order
to learn how to better cope with them. (See pseudo-stuttering.)
vowel. A voiced speech sound in which the oral part of the breath channel is not
blocked and is not constricted enough to cause audible friction: broadly, the most
prominent sound in a syllable.
whisper. Speech without vibration of the vocal cords.
185
Authors of Quotations
★ SOL ADLER, Ph.D.
Professor of Speech Pathology
University of Tennessee,
Knoxville
★ JOSEPH G. AGNELLO, Ph.D.
University of Cincinnati
MERLE ANSBERRY, Ph.D.
Professor of Emeritus of Speech
Pathology
University of Hawaii, Honolulu
★ JAMES T. ATEN, Ph.D.
Chairman of Speech Pathology
Section
V.A. Hospital, Long Beach,
California
★ DOMINICK A. BARBARA, Ph.D.,
M.D.
Psychiatrist
Karen Horney Clinic, New York
City
★ OLIVER BLOODSTEIN, Ph.D.
Brooklyn College, City University
of New York
★ C. S. BLUEMEL, M.D.
Late Fellow of the American
Psychiatric Association
and the American College of
Physicians
★ RICHARD M. BOEHMLER, Ph.D.
University of Montana, Missoula
★ JOHN L. BOLAND, Ph.D.
Clinical Psychiatrist
Oklahoma Psychological and
Educational Center,
Oklahoma City
★ DORVAN BREITENFELDT, Ph.D.
Eastern Washington University
★ SPENCER F. BROWN, Ph.D., M.D.
formerly Associate Professor of
Pediatrics
University of Iowa, Iowa City
★ Authorities who have been stutterers.
186
EDWARD G. CONTURE, Ph.D.
Vanderbilt University, Nashville
★ PAUL R. CZUCHNA, M.A.
Director of Stuttering Programs
Western Michigan University,
Kalamazoo
DENNIS DRAYNA, Ph.D.
Senior Fellow, National Institute
on Deafness &
Other Communicative
Disorders
National Institutes of Health
★ LON L. EMERICK, Ph.D.
Northern Michigan University,
Marquette
★ HENRY FREUND, M.D.
Fellow, American Psychiatric
Association
Milwaukee, Wisconsin
★ SCOTT GARLAND, M.D.
Occupational Medicine
Winston-Salem, North Carolina
★ HUGO H. GREGORY, M.D.
Professor and Head, Speech and
Language Pathology
Northwestern University,
Evanston, Illinois
★ BARRY E. GUITAR, Ph.D.
Associate Professor, Speech
Pathology
University of Vermont,
Burlington
★ LLOYD M. HULIT, Ph.D.
Associate Professor of Speech
Pathology
Illinois State University, Normal
★ GERALD F. JOHNSON, Ph.D.
University of Wisconsin, Stevens
Point
★ WENDELL JOHNSON, Ph.D.
formerly Professor of Speech
Pathology and
Director of Speech Clinic
★ ALAN G. KAMHI, Ph.D.
Assistant Professor of Speech
Pathology
University of Memphis, Memphis,
Tennessee
★ GARY N. LaPORTE, M.A.
formerly Coordinator of Speech
Pathology Programs
University of Tampa, Florida
★ HAROLD L. LUPER, Ph.D.
formerly Professor and Head,
Speech Pathology Department
University of Tennessee,
Knoxville
★ GERALD A. MAGUIRE, M.D.
Associate Professor of Clinical
Psychiatry
University of California, Irvine
School of Medicine
★ FREDERICK MARTIN, M.D.
formerly Superintendent of
Speech Corrections
New York City Schools
★ GERALD R. MOSES, Ph.D.
Associate Professor of Speech
Pathology
Eastern Michigan University,
Ypsilanti
★ FREDERICK P. MURRAY, Ph.D.
formerly Director, Division of
Speech Pathology
University of New Hampshire,
Durham
★ MARGARET M. NEELY, Ph.D.
Director, Baton Rouge Speech and
Hearing Foundation
Baton Rouge, Louisiana
WILLIAM H. PERKINS, Ph.D.
Director, Intensive Therapy
Program for Stuttering
University of Southern
California, Los Angeles
★ Authorities who have been stutterers.
★ THEODORE J. PETERS, Ph.D.
University of Wisconsin, Eau
Claire
★ MARGARET RAINEY, Ph.D.
Director, Speech Pathology
Shorewood Public Schools,
Wisconsin
★ PETER R. RAMIG, Ph.D.
University of Colorado, Boulder
PETER ROSENBERGER, M.D.
Director, Learning Disorders Unit
Massachusetts General Hospital,
Harvard Medical School, Boston
★ JOSEPH G. SHEEHAN, Ph.D.
Professor of Psychology
University of California, Los
Angeles
★ HAROLD B. STARBUCK, Ph.D.
Distinguished Service Emeritus
State University College,
Geneseo, New York
★ COURTNEY STROMSTA, Ph.D.
Kalamazoo
★ WILLIAM D. TROTTER, Ph.D.
Director, Communicative
Disorders
Marquette University, Milwaukee
★ CHARLES VAN RIPER, Ph.D.
Distinguished Professor Emeritus
of Speech Pathology
Kalamazoo
★ RONALD T. VINNARD, M.D.
The Center for Fluent Speech
Madera, California
★ CONRAD WEDBERG, M.A.
formerly Director of Speech
Therapy
Alhambra City Schools,
California
★ DEAN WILLIAMS, Ph.D.
★ J. DAVID WILLIAMS, Ph.D.
Northern Illinois University,
DeKalb
187
Most of the quotations used in this book came from the
following publications:
A Clinician’s Guide to Stuttering; Sol Adler
(Charles C. Thomas).
Questions and Answers on Stuttering; Dominick A. Barbara (Charles C.
Thomas).
The Riddle of Stuttering; C. S. Bluemel
(Interstate Publishing).
Speech Motor Control in Normal and Disordered Speech; B. Maassen, R.
D. Kent, H.F.M. Peters, P.H.H.M. van Lieshout & W. Hulstjin, Eds.
(Oxford University Press).
Stuttering, A Second Symposium; Jon Eisenson, Ed.
(Harper & Row).
An Analysis of Stuttering; Emerick and Hamre, Ed.
(Interstate Publishing).
Psychopathology and the Problems of Stuttering;
Henry Freund (Charles C. Thomas).
Controversies About Stuttering Therapy; Hugo Gregory, Ed. (University
Park Press).
Learning Theory and Stuttering Therapy; Hugo Gregory, Ed.
(Northwestern University Press).
People in Quandaries; Wendell Johnson (Harper & Brothers).
Stuttering and What You Can Do About It; Wendell Johnson (University
of Minnesota Press).
A Stutterer’s Story; Frederick Pemberton Murray
(Stuttering Foundation of America).
Stuttering, Research and Therapy; Joseph Sheehan, Ed.
(Harper & Brothers).
Handbook of Speech Pathology; Lee Edward Travis, Ed. (AppletonCentury-Crofts).
Speech Correction; Charles Van Riper (Prentice-Hall).
The Nature of Stuttering; Charles Van Riper (Prentice-Hall).
The Treatment of Stuttering; Charles Van Riper (Prentice-Hall).
Speech Therapy, A Book of Readings; Charles Van Riper, Ed. (PrenticeHall).
The Stutterer Speaks; Conrad Wedberg (Expression Co.),
and from the publications of the Stuttering Foundation of America.
188
Index
abnormal movements, 45, 77
admitting stuttering, 43, 69
advice from others, 26, 27, 144,
159
alcoholic drinks, 22
all important ground rules, 37
analyzing blocks, 49, 97, 99, 101,
107
anticipatory reactions, 170
appendix, 143
approach to self-therapy, 13
assertive, 139
authors of quotations, 186
avoidances, 46, 76, 85, 87, 158
beneficial practices, 37
block corrections, 51, 113,
115, 123
body exercises, 23
bounce, 109, 174
boyhood recollections, 166
breath control, 146
cancellation, 115, 174
cause of stuttering, 18
cerebral dominance, 18
changing speech, 28, 29, 30
commitment, 27
conclusion, 137
conditioning, 174
cost of therapy, 165
delayed auditory feedback, 175
Demosthenes, 160
desensitization, 43, 176
determination, 15, 27
diagnosogenic theory, 176
differences in stutterers, 16,
166
discouragement, 129
distractions, 24, 25, 176
drinking, 22
drug therapy, 22
dysphonia, 176
easy onset, 33, 34, 36, 42, 61,
177
electronic devices, 147
eliminating abnormal
movements, 45, 77
eliminating avoidances, 46, 85
eliminating postponements, 46,
85
eliminating secondary
symptoms, 45,77
eliminating substitutions, 46,
85, 156
emotions, 19, 154
enlisting support, 25, 26, 144
equipment, desirable, 59
exercises, 23, 24
experimental therapy
procedure, 33
explaining effect of fear, 145
eye blinking, 45, 77
eye contact, 48, 95, 177
factors affecting therapy, 19
famous stutterers, 152
fear (of difficulty), 17, 21, 43, 44,
67, 135, 138, 145, 155, 177
feelings and emotions, 19
finding out what you do when
you stutter, 49, 99
fluency shaping therapy, 33, 178
following advice, 26, 161
forcing speech, 21, 42
frequency and severity, 154
frustration, 20, 130, 178
gestures, 45, 77
getting job, 157
glossary, 171
ground rules, 37–60
group therapy, 144, 178
guidelines, 37–60
handicap, 13, 28, 140, 176, 188
hard contact, 178
“he” or “him,” 8
189
head jerking, 45, 77
hereditary factors, 18
hierarchy, 55, 56
humor, 74
hypnotism, 22
identifying secondary
symptoms, 45, 77
in-block correction, 121
inferiority, 20, 96
inflection, 53
inherited stuttering, 18
intelligence of stutterers, 17
introducing oneself, 159
job, getting, 157
joking about stuttering, 74
King George VI, 164
laterality theory, 179
light contact, 65, 118, 179
maintaining eye contact, 48, 95
melodious voice, 53
memorable experience, 163
mirror, 59, 79, 102
modifying attitude, 29, 37–44,
46, 47, 48
modifying stuttering behavior,
41, 42, 45, 49, 51, 52, 178
monitoring speech, 162, 179
motivation, 15, 27
moving forward, 52
neurotic, 14
number of stutterers, 11, 152
on this approach to selftherapy, 13
operant conditioning, 180
original cause, 18
pause, 41
pausing, 62, 156
paying attention to fluent
speech, 53
190
perfect speech, 131, 140, 158
phonation, 180
physical exercise, 24
play therapy, 180
post-block correction, 115, 181
postponement, 46, 85, 181
posture, 24
pre-block correction, 123, 181
premise and program, 29
preparatory set, 123, 181
professional stutterer, 162
program, 29
prolongation, 33, 42, 65, 73, 181
pull-out, 121, 182
quotation authors, 186
rate control, 41, 61, 182
recorder, 60, 104
recovery time, 161
regression, 129, 182
relapse, 129, 182
relaxation, 21
relevant and interesting
quotations, 152
responsibility for problems, 11,
156
results from comparison, 112
review, 133
rewarding habits, 37
rhythmic beat, 157, 182
rules, ground, 37–60
saying your name, 108, 154
secondary symptoms, 45, 77, 80,
182
self-help groups, 144
semantics, 182
sensitivity, 20, 27, 155, 182
severity, 157
sex ratio, 8
shame and embarrassment, 20
sharing problem with others, 144
sigh, 146
singing, 17
slow speech, 33, 41, 61
speech pathologists who
stutter, 186
stress, 183
stretching sounds, 33
stuttering easily, 42, 65
stuttering openly, 43, 69
substituting, 46, 85, 158
support, 26, 144
swinging arms, 45, 77, 157
tension and relaxation, 21, 183
therapy procedure,
experimental, 33
time pressure, 41, 61
tranquilizers, 22
talking all you can, 54
talking easily, 42, 65
talking slowly and deliberately,
41, 61
talking with inflection and
melody, 53
tape recording, 60, 104
telephone, 91, 147
variation in stuttering, 15, 166
video taping, 50, 79, 105
voluntary stuttering, 43, 72, 184
using a mirror to check, 102
using a tape recorder to check,
60, 104
what’s been done, 133
where are you—conclusion,
137
191
If you believe this book has helped you or you
wish to help this worthwhile cause, please send a
donation to
THE
STUTTERING
FOUNDATION
®
P.O. Box 11749 • Memphis, TN 38111-0749
1-800-992-9392
Fax 901-452-3931
901-452-7343
www.stutteringhelp.org
The Stuttering Foundation of America is
a tax-exempt organization under section
501(c)(3) of the Internal Revenue Code
and is classified as a private operating
foundation as defined in section 4942(j)(3).
Charitable contributions and bequests
to the Foundation are tax-deductible,
subject to limitations under the Code.
192
Myths about stuttering
Myth:
People who stutter are not smart.
Reality: There is no link whatsoever between stuttering and intelligence.
Myth:
Nervousness causes stuttering.
Reality: Nervousness does not cause stuttering. Nor should we assume that
people who stutter are prone to be nervous, fearful, anxious, or shy.
They have the same full range of personality traits as those who do
not stutter.
Myth:
Stuttering can be “caught” through imitation or by hearing another
person stutter.
Reality: You can’t “catch” stuttering. No one knows the exact causes of
stuttering, but recent research indicates that family history (genetics),
neuromuscular development, and the child’s environment, including
family dynamics, all play a role in the onset of stuttering.
Myth:
It helps to tell a person to “take a deep breath before talking,” or “think
about what you want to say ﬁrst.”
Reality: This advice only makes a person more self-conscious, making the
stuttering worse. More helpful responses include listening patiently
and modeling slow and clear speech yourself.
Myth:
Stress causes stuttering.
Reality: As mentioned above, many complex factors are involved. Stress is not
the cause, but it certainly can aggravate stuttering.
These myth busters are from the flyer Myths About Stuttering, which can be
downloaded at www.stutteringhelp.org, click on “Brochures for all ages.”
THE
STUTTERING
FOUNDATION
姞
P.O. Box 11749 • Memphis, TN 38111-0749
info@stutteringhelp.org
800-992-9392
www.stutteringhelp.org
© 2007, Stuttering Foundation of America
www.tartamudez.org
about the founder
Malcolm Fraser knew from personal experience what
the person who stutters is up against, having struggled
with stuttering since early childhood.
He first received therapy at age fifteen with
Frederick Martin, M.D., Superintendent of Speech
Correction for the New York City schools.
A few years later, he worked with J. Stanley Smith, L.L.D., a
philanthropist who stuttered who founded the Kingsley Clubs in
Philadelphia and New York. These support groups were named after
the English author, Charles Kingsley, who also stuttered. Fraser often
led the discussions at both clubs.
In 1928, he joined his older brother Carlyle who founded the
NAPA-Genuine Parts Company that year in Atlanta, Georgia.
Malcolm Fraser became an important leader in the company and was
particularly outstanding in training others for leadership roles.
In 1947, with a successful career under way, he founded the
Stuttering Foundation of America. In subsequent years, he added
generously to the endowment so that at the present time, endowment
income covers over fifty percent of the operating budget.
In 1984, Malcolm Fraser received
the fourth annual National Council
on Communicative Disorders’
Distinguished Service Award. The
NCCD, a council of 32 national
organizations, recognized the
Foundation’s efforts in “adding to
stutterers’, parents’, clinicians’, and
the public’s awareness and ability to Dr. Kathleen Griffin (left) presents the
deal constructively with stuttering.” NCCD 1984 Distinguished Service Award to
Malcolm Fraser.
In 1989, Hamilton College,
Clinton, New York, presented Fraser with the honorary degree of
Doctor of Humane Letters for his outstanding work on behalf of those
who stutter.
Malcolm Fraser was honored posthumously with the Charles Van
Riper Award, presented by actor James Earl Jones at the 16th annual
NCCD Awards Ceremony in Washington, D.C.
ISBN 0-933388-45-4
Established by the American Speech-LanguageHearing Association in 1995, the Van Riper Award
was given to Fraser for “his outstanding commitment to people who stutter.”
9
780933 388451

self-therapy for the stutterer

Transcription

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